| 免气腹与气腹全腹腔镜下肝叶切除术的对比研究 |
| |
| 引用本文： | 王海彪,胡元达,何敏霞,俞海蛟. 免气腹与气腹全腹腔镜下肝叶切除术的对比研究[J]. 中国微创外科杂志, 2010, 10(5): 391-394 |
| |
| 作者姓名： | 王海彪 胡元达 何敏霞 俞海蛟 |
| |
| 作者单位： | 浙江省宁波市象山第一人民医院普外科,宁波,315700 |
| |
| 摘 要： | 目的探讨免气腹全腹腔镜下肝叶切除术应用的可行性。方法选择我院2008年5月～2009年12月资料完整的全腹腔镜下肝叶切除术22例,免气腹组11例(应用经穿刺孔8～14Fr导尿管腹壁牵拉技术),气腹组11例,进行回顾性对照研究,比较2组手术时间、术中出血量、术后腹腔引流量、术后胃肠功能恢复时间、术后恶心呕吐情况、术后住院时间、术后并发症,检测手术开始60min时动脉血CO2分压(PaCO2)、呼气末CO2分压(PETCO2)、中心静脉压(CVP)和气道压。结果2组手术均顺利,无中转开腹,无输血,术后恢复顺利。2组手术时间、术中出血量、术后腹腔引流量、肛门首次排气时间、术后住院时间、术后并发症差异均无显著性(P0.05)。免气腹组手术开始60min时PaCO2[(36.0±4.0)mmHgvs(43.9±3.8)mmHg,t=4.735,P=0.000],PETCO2[(31.3±2.8)mmHgvs(41.2±3.8)mmHg,t=6.978,P=0.000],CVP[(6.04±1.62)cmH2Ovs(7.81±1.66)cmH2O,t=2.533,P=0.020]和气道压[(17.1±2.5)cmH2Ovs(25.1±3.9)cmH2O,t=5.711,P=0.000]明显低于气腹组。结论经穿刺孔皮管腹壁提拉技术开展免气腹全腹腔镜下肝叶切除术可行,安全。
|
| 关 键 词： | 免气腹腹腔镜 CO2气腹 肝叶切除术 对比研究 |
Comparison of Gasless and CO_2-insufflated Pneumoperitoneum in Laparoscopic Liver Lobectomy |
| |
| Wang Haibiao,Hu Yu,a,He Minxia,et al.. Comparison of Gasless and CO_2-insufflated Pneumoperitoneum in Laparoscopic Liver Lobectomy[J]. Chinese Journal of Minimally Invasive Surgery, 2010, 10(5): 391-394 |
| |
| Authors: | Wang Haibiao Hu Yu a He Minxia et al. |
| |
| Affiliation: | Wang Haibiao,Hu Yu,a,He Minxia,et al.Department of the General Surgery,Xiangshan First People's Hospital,Ningbo 315700,China |
| |
| Abstract: | Objective To explore the feasibility of Gasless laparoscopic liver lobectomy.Methods A total of 22 patients underwent laparoscopic liver lobectomy in our hospital from May 2008 to December 2009.Of the cases,gasless laparoscopy was used in 11 patients(8-14 Fr catheter was inserted through the abdominal wall puncture hole)and CO2-insufflated pneumoperitoneum were employed in the other 11 cases.The operation time,intraoperative blood loss,volume of intra-abdominal drainage,and postoperative recovery time of ga... |
| |
| Keywords: | Gasless Laparoscopy CO2-insufflated pneumoperitoneum Liver lobectomy Comparative study |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
