选择性肝血流阻断技术在腹腔镜左肝外叶切除术中的应用

目的 探讨选择性肝血流阻断技术在腹腔镜左肝外叶切除术中应用的可行性和有效性。方法 回顾分析18例术中采用选择性肝血流阻断技术实施腹腔镜左肝外叶切除术患者的临床资料。结果 全组均在腹腔镜下完成手术，无中转开腹，无围手术期死亡。平均手术时间（140±58）min，平均术中出血量（160±148）mL，均未术中输血。术后1例患者发生左膈下积液，术后并发症发生率为5.56%（1/18），平均术后住院时间（6.4±2.5）d。结论 腹腔镜左肝外叶切除术中采用选择性肝血流阻断技术可有效减少术中出血和术后并发症，安全可行。

Application of selective hepatic vascular exclusion in laparoscopic left lateral liver resection

To evaluate the feasibility and the effectivity of selective hepatic vascular exclusion in laparoscopic left lateral liver resection. Methods The clinical data of 18 patients underwent laparoscopic left lateral liver resection with selective hepatic vascular exclusion were analyzed retrospectively. Results All the patients underwent totally laparoscopic surgeries with no conversion to laparotomy. There was no perioperative death. The mean duration of surgery was （140 ~ 58） min, the mean operative blood loss was （160 ~ 148） mL, and there was no intraoperative blood transfusion. One case of left subphrenic liquid collection occurred after operation and the rate of postoperative complication was 5.56% （1/18）, and the mean hospital stay after operation was （6.4 ~ 2.5） d. Conclusion The intraoperative blood loss and transfusion and the rate of postoperative complication can be reduced in laparoscopic left lateral liver resection with selective hepatic vascular exclusion, and it is safe and feasible.