Application of controlled low central venous pressure combined with hepatic blood occlusion in hepatectomy
10.3969/j.issn.1000-8179.2015.24.194
- VernacularTitle:控制性低中心静脉压联合肝血流阻断在肝癌切除术中的应用
- Author:
Hongwei ZHAO
;
Yinxue WANG
;
Xiaobei ZHANG
;
Yue LI
;
Jincheng LI
- Publication Type:Journal Article
- Keywords:
hepatectomy;
controlled low central venous pressure;
hepatic blood occlusion;
anesthesia
- From:
Chinese Journal of Clinical Oncology
2015;(24):1174-1177
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of controlled low central venous pressure (CLCVP) combined with hepatic blood occlusion on blood loss and hemodynamics in hepatectomy. Methods:Sixty hepatocellular carcinoma patients with American Society of Anesthesiologists (ASA) Ⅰ-Ⅱ undergoing hepatectomy were randomly divided into two groups. One was the group of hepatic blood occlusion (group I);the other was the group of CLCVP combined with hepatic blood occlusion (group II). During the parenchy-mal transection phase of surgery, 60.05). Likewise, no significant difference was noted in MAP and HR at different time points of the two groups (P>0.05). The CVP in groupⅡwas significantly lower than that in groupⅠat the beginning of and 20 min after the paren-chymal transection phase of the surgery. Conclusion:CLCVP combined with hepatic blood occlusion can reduce blood loss effectively during hepatectomy.
