Intermittent regional hepatic vascular inflow occlusion for laparoscopic right anterior sectionectomy

Q4 Medicine

中华肝胆外科杂志 Pub Date : 2020-03-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2020.03.001

Yu Yang, J. Chen, Weibo Chen, Donglin Sun, Y. Duan

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引用次数: 0

Abstract

Objective To compare the efficacy and safety of intermittent regional hepatic vascular inflow occlusion with Pringle’s maneuvre for laparoscopic anterior sectionectomy. Methods From January 2014 to December 2018, 54 patients who underwent laparoscopic right anterior sectionectomy at the Department of Hepatopancreatobiliary Surgery, the Third Affiliated Hospital, Soochow University were recruited into this study. The patients were 40 to 60 years old, and 27 were males and 27 females. Intermittent regional hepatic vascular inflow occlusion was carried out in 24 patients (the intermittent occlusion group). The remaining patients underwent Pringle’s maneuvre (the Pringle group). Postoperative liver function, intraoperative blood loss, intraoperative blood transfusion, operation time and postoperative complications between the two groups were compared. Results Intraoperative hemorrhage and blood transfusion of the Pringle group (534±42)ml, (2.88±0.54)U were significantly higher than the intermittent occlusion group (374±21)ml, (1.86±0.29)U (all P 0.05). Conclusion Intermittent regional hepatic vascular inflow occlusion reduced intra-operative hemorrage and hepatic impairment, and shortened hospital stay. However, it required higher operation skills and it should gradually be promoted. Key words: Hepatectomy; Laparoscopes; Inflow occlusion; Liver function

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间歇性区域性肝血管流入阻断在腹腔镜右前叶切除术中的应用

目的比较间歇性区域性肝血管流入阻断术和普林格尔术在腹腔镜前叶切除术中的疗效和安全性。方法2014年1月至2018年12月，在苏州大学附属第三医院肝胆胰外科接受腹腔镜右前段切除术的54例患者纳入本研究。患者年龄为40至60岁，男性27例，女性27例。对24例患者（间歇性阻断组）进行间歇性区域性肝血管流入阻断。其余患者接受了普林格尔手法治疗（普林格尔组）。比较两组患者术后肝功能、术中出血量、术中输血量、手术时间及术后并发症。结果普林格尔组术中出血和输血量（534±42）ml，（2.88±0.54）U明显高于间歇阻断组的（374±21）ml、（1.86±0.29）U（均P＜0.05）。然而，它需要更高的操作技能，应该逐步推广。关键词：肝切除术；腹腔镜；流入阻塞；肝功能

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来源期刊

中华肝胆外科杂志 Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

7101

期刊介绍： Chinese Journal of Hepatobiliary Surgery is an academic journal organized by the Chinese Medical Association and supervised by the China Association for Science and Technology, founded in 1995. The journal has the following columns: review, hot spotlight, academic thinking, thesis, experimental research, short thesis, case report, synthesis, etc. The journal has been recognized by Beida Journal (Chinese Journal of Humanities and Social Sciences). Chinese Journal of Hepatobiliary Surgery has been included in famous databases such as Peking University Journal (Chinese Journal of Humanities and Social Sciences), CSCD Source Journals of China Science Citation Database (with Extended Version) and so on, and it is one of the national key academic journals under the supervision of China Association for Science and Technology.