Application of regional hepatic in-and outflow occlusion for laparoscopic left hemi-hepatectomy
10.3760/cma.j.issn.1007-631X.2019.01.003
- VernacularTitle:区域性出入肝血流阻断在腹腔镜左半肝切除术中的应用
- Author:
Yunfei DUAN
1
;
Yu YANG
;
Jing CHEN
;
Di WU
;
Donglin SUN
Author Information
1. 苏州大学附属第三医院肝胆胰外科
- Keywords:
Liver neoplasms;
Hepatectomy;
Laparoscopes;
Embolism,air
- From:
Chinese Journal of General Surgery
2019;34(1):10-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate regional left sided in and out flow hepatic flow occlusion in laparoscopic left hemi-hepatectomy compared with in hepatic flow occlusion.Methods From Jan.2016 to Dec.2017,34 patients underwent laparoscopic left hemi-hepatectomy with regional hepatic in-out flow occlusion.Results were compared with 52 patients undergoing laparoscopic left hemi-hepatectomy under leftsided hepatic inflow occlusion only.Results Compared to hepatic inflow occlusion,regional hepatic in and out flow occlusion in laparoscopic left hemi-hepatectomy lead to a 0.46 hour longer operation time,20 ml less intraoperative blood loss and 0.62U less blood transfusion,reduced hepatic function impairment and 1.41 days shorter hospital stay.Conclusions Regional hepatic in-out flow occlusion in laparoscopic left hemi-hepatectomy can reduce intraoperative hemorrhage and lower the risk of CO2 embolism.
