Application of alternative hemihepatic vascular occlusion in anatomic mesohepatectomy
- VernacularTitle:交替阻断半肝入肝血流在解剖性肝中叶切除术中的应用
- Author:
Zhe-Long JIANG
1
;
Zhi-Hong WEI
;
Kun ZHANG
;
Yi JIANG
;
Li-Zhi LÜ
Author Information
1. 福建医科大学福总临床医学院肝胆外科
- Keywords:
anatomical mesohepatectomy;
alternative hemihepatic occlusion;
hemihepatic blood inflow;
liver cancer;
blood flow block
- From:
Journal of Regional Anatomy and Operative Surgery
2019;28(1):60-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application and advantages of alternative vascular hemihepatic occlusion in anatomic mesohepatectomy.MethodsThe clinical data of 57 patients with liver cancer who underwent operation in hepatobiliary surgery of Fuzhou general hospital from January 2014 to December 2017 were retrospectively analyzed.According to the surgery method, the patients were divided into observation group and control group, 34 cases in observation group were performed anatomic mesohepatectomy with alternative hemihepatic occlusion, 23 cases in control group were treated with non-anatomical liver lobectomy.The clinical effect of two groups were compared.Results The observation group was significantly better than the control group in terms of operation time, intraoperative blood loss, length of hospital stay, hospitalization costs, ALB at 1, 3, 5 days after surgery, ALT and AST at 1, 3, 5, 7 days after surgery, the differences were significant (P＜0.05).There was no perioperative deaths in the two groups.ConclusionApplied alternative hemihepatic vascular occlusion in anatomic mesohepatectomy can achieve good short-term curative effect and high safety.
