A comparative study on two different techniques in laparoscopic left hemihepatectomy

Q4 Medicine

中华肝胆外科杂志 Pub Date : 2019-11-28 DOI:10.3760/CMA.J.ISSN.1007-8118.2019.11.005

Baiwen Chen, K. Qiu, Hong Li

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Abstract

Objective To compare the safety and efficacy of the retrograde and the antegrade techniques in laparoscopic left hemihepatectomy. Methods Of the 65 patients who underwent laparoscopic left hemihepatectomy between January 2016 to June 2018 at the Ningbo Li Huili Hospital of Medical Center, retrograde left hemihepatectomy was carried out in 31 patients, and antegrade left hemihepatectomy in 34 patients. The perioperative data, duration of operation, intraoperative blood loss, postoperative complications (including major bleeding, abdominal abscess and bile leakage), and post-operative hospital stay were retrospectively compared between the two groups. Results There were no significant differences in the perioperative general status between the two groups (P>0.05). Both the duration of operation [(121.5±22.1) min vs. (190.9±48.9) min, P 0.05]. Conclusions Occlusion of hepatic vascular inflow and outflow combined with retrograde left hemihepatectomy was safe and feasibly. The retrograde approach was superior to the antegrade approach in laparoscopic left hemihepatectomy. Key words: Laparoscopes; Hepatectomy; Retrograde; Antegrade

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两种不同腹腔镜左半肝切除术技术的比较研究

目的比较腹腔镜左半肝切除术中逆行和顺行技术的安全性和有效性。方法2016年1月至2018年6月在宁波市李惠利医学中心医院接受腹腔镜左半肝切除术的65例患者中，31例进行了逆行左半肝手术，34例进行了顺行左半肝术。回顾性比较两组的围手术期数据、手术时间、术中出血量、术后并发症（包括大出血、腹腔脓肿和胆汁渗漏）和术后住院时间。结果两组围手术期总体情况无显著性差异（P>0.05），手术时间[（121.5±22.1）minvs.（190.9±48.9）min]。腹腔镜左半肝切除术中逆行入路优于顺行入路。关键词：腹腔镜；肝切除术；逆行；顺行

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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.