Pringle′s法联合选择性肝静脉阻断技术在肝切除术中的应用

目的探讨Pringle′s法联合选择性肝静脉阻断技术在肝切除中的应用价值。方法对2005年1月至2009年9月92例肝肿瘤手术患者临床资料进行回顾性分析,将92例患者分为A、B两组,A组43例应用Pringle′s法联合选择性肝静脉阻断技术行肝切除,B组49例行常规Pringle′s法阻断入肝血流行肝切除,观察术中出血量、术后肝功能的变化及术后并发症。结果所有患者均顺利完成手术并恢复出院,A组与B组相比,术中出血量明显减少,术后肝功能恢复快,术后并发症发生率低(P<0.05)。结论与常规Pringle′s法肝叶切除术比较,Pringle′s法联合选择性肝静脉阻断技术可明显减少术中出血,且术后肝功能损害程度较轻,并发症少,是一种安全有效的方法。

Application of pringle's maneuver combined with the selective hepatic veins exclusion in hepatectomy

Objective To evaluate the effect of application of pringle′s maneuver combined with the selective hepatic veins exclusion in the process of hepatectomy.Methods The clinical data of 92 cases of massive hepatic tumors treated in our institution was retrospectively analyzed to discuss the application of selective exclusion of the hepatic veins in hepatectomy.These cases were divided into two groups.43 cases were performed with pringle′s maneuver combined with selective hepatic veins exclusion in the process of hepatectomy(group A),while 49 cases(group B) were performed with the conventional hepatic veins exclusion in hepatectomy.Compared the amount of bleeding,the recovering of liver function,the complication rate after operation between the two groups.Results All patients recovered uneventfully.No patients died perioperatively.Amount of bleeding of group A was much less than that in group B(P<0.05),and the recovering of liver function of group A after operation was better than group B.There was the statistics significance between the complicating diseases after operation in group A and group B(P<0.05).Conclusion Compared with pringle′s maneuver combined with hepatic veins exclusion,the performance of pringle′s maneuver combined with the selective hepatic veins exclusion can lower the amount of bleeding in operation,which does no serious harm to the liver function of patients,and causes less complicating diseases after operation.pringle′s maneuver combined with the selective hepatic veins exclusion is safe and efficient.