肝门部格利森蒂血流阻断在解剖性肝右叶肿瘤切除术中的应用

目的 探讨肝门部格利森蒂血流阻断在解剖性肝右叶肝癌切除术中的应用.方法 回颐性分析38例肝右叶肝癌患者的临床资料,20例采用肝门部格利森带血流阻断(A组)进行解剖性肝切除;18例采用间歇性第一肝门阻断(B组)进行肝肿瘤局部切除;对2组术中出血、术后肝功能及胆瘘情况进行比较.结果 2组病例均无死亡病例,A组无出现腹水病例...

Applied research of Glisson pedicle blood occlusion of porta hepatis in the anatomical liver resection

Objective To research the application of Glisson pedicle blood occlusion of porta hepatis in the anatomical liver resection.Methods The clinical data of 38 patients with live cancers were retrospectively analyzed.The Glisson pedicle blood occlusion of porta hepatis group(group A) included 20 patients of liver cancer received anatomical hepatectomy while the first porta hepatis interval blood occlusion method group(group B) included 18 patients of liver cancer who received resection of local area during the same period.The index that include hemorrhage during operation liver function abnormality biliary fistula during postoperative were compared between these two groups.Results In group B,5 patients ascites were found.In group A,there is not asctes、intraabdominal hemorrhage and failure of liver function etc.Blood loss during operation and serum alanine transaminase(ALT) in the postoperative 1th、3th、5th、7th days in group A were significantly lower than those in group B,There is statistical significance between the difference of the two groups(P<0.05).Conclusions The method of Glisson pedicle blood occlusion of porta hepatis for anatomical hepatectomy of HCC is one of the effective hepatic blood occlusion methods reducing perioperative blood loss 、reducing liver functions and quickly recovering liver functions during postoperative.