论文部分内容阅读
目的:探讨不解剖Glisson鞘区域血流阻断肝脏肿瘤切除的临床应用价值。方法:回顾性分析哈尔滨医科大学附属第一医院普外科2000年6月-2013年6月对40例肝脏肿瘤患者施行的肝部分切除术的临床资料。将手术分为不解剖Glisson鞘区域血流阻断切肝组(A组)20例和第一肝门入肝血流阻断切肝组(B组)20例,比较两组术后的手术时间、术中出血量、术中输血量、术后肝功能的恢复、术后并发症以及住院时间等情况。结果:两组在手术时间方面存在明显差异。而其他指标,如术中出血量、术中输血量、术后肝功能的恢复、术后并发症以及住院时间等,A组也明显优于B组。结论:不解剖Glisson鞘区域血流阻断技术能够有效的控制术中出血,减轻肝脏缺血再灌注损伤,防止术中由门静脉介导的癌细胞肝内扩散,是一种合理的血流阻断方法。
Objective: To investigate the clinical value of non-dissection of the hepatic tumor resected by blood flow in the Glisson sheath region. Methods: The clinical data of partial hepatectomy performed in 40 patients with liver cancer from June 2000 to June 2013 in the First Affiliated Hospital of Harbin Medical University were retrospectively analyzed. The operation was divided into non-dissection of the Glisson sheath regional blood flow blocking the liver group (A group) 20 cases and the first hepatic portal vein blood flow blocking the liver group (B group) 20 cases, the two groups after surgery Time, intraoperative blood loss, intraoperative blood transfusion, postoperative recovery of liver function, postoperative complications and hospitalization. Results: There was a significant difference in the operative time between the two groups. Other indicators, such as intraoperative bleeding, intraoperative blood transfusion, postoperative recovery of liver function, postoperative complications and hospital stay, A group was also significantly better than the B group. Conclusion: The non-dissection of the Glisson sheath region blood flow blocking technique can effectively control intraoperative bleeding, reduce the hepatic ischemia-reperfusion injury and prevent intrahepatic diffusion of cancer cells by the portal vein during operation, and is a reasonable blood flow resistance Broken method.