Application of selfmade modified hepatic pedicle occluding band in laparoscopic special section hepatectomy
10.3877/cma.j.issn.2095-3232.2016.03.005
- VernacularTitle:自制改良式肝蒂阻断带在腹腔镜特殊部位肝切除中的应用
- Author:
Jingwen HUA
1
;
Changwen HUANG
;
Shubing ZOU
;
Hu XIONG
;
Shimiao LI
Author Information
1. 330006南昌大学第二附属医院肝胆外科
- Keywords:
Laparoscopes;
Hepatectomy;
Hepatic artery;
Blood occlusion
- From:
Chinese Journal of Hepatic Surgery（Electronic Edition）
2016;5(3):144-147
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the application value of selfmade modified hepatic pedicle occluding band in laparoscopic special section hepatectomy.MethodsForty-ifve patients who underwent laparoscopic special section hepatectomy in the Second Afifliated Hospital of Nanchang University between July 2014 and July 2015 were enrolled in this prospective study. The informed consents of all patients were obtained and the local ethical committee approval was received. Among the patients, 17 were males and 28 were females with the age ranging from 28 to 71 years old and the median of 50 years old. Five cases underwent resection of segmentⅣb, 8 of segmentⅤ, 10 of segmentⅦ, 9 of segmentⅧ, 8 of segmentⅥ+Ⅶ, and 5 of segmentⅤ+Ⅶ. According to the random number table method, the patients were divided into the group of hepatic inlfow occlusion with the selfmade modiifed hepatic pedicle occluding band (the modiifed group,n=18) and the traditional surgery group (the traditional group,n=27). Hepatic inlfow was not occluded or was occluded by Pringle maneuver in the traditional group. The length of operation, intraoperative blood loss and postoperative length of stay in two groups were compared usingt test.ResultsThe patients in both groups completed the surgery successfully. No conversion to laparotomy was observed in the modiifed group, while the rate of conversion to laparotomy in the traditional group was 22%(6/27). The length of operation, intraoperative blood loss and postoperative length of stay in the modiifed group were respectively (226±95) min, (421±90) ml and (10±4) d, while those in the traditional group were respectively (286±95) min, (501±91) ml and (14±4) d, and signiifcant differences were observed (t=-2.104,-2.899,-2.913;P<0.05).Conclusions The application of selfmade modified hepatic pedicle occluding band in laparoscopic special section hepatectomy is safe and feasible. And it can conveniently and effectively control the hepatic inlfow.
