微波止血分离器在腹腔镜肝切除术中的应用

目的：评价微波止血分离器在腹腔镜肝切除术中的应用价值。
　　方法：回顾性分析2009年7月—2013年6月使用HeSetor微波止血分离器为28例患者行腹腔镜肝切除术的临床资料。
　　结果：28例均顺利完成，无手术中转、手术死亡发生，手术时间平均（124±45）min，术中出血量平均（140±110）mL。全组患者无术后出血、胆瘘、肝功能衰竭等严重并发症。术后平均住院（6.9±2.7）d。28例患者随访6~53个月，6例肝癌患者术后5~16个月后出现肝内转移复发，切口均未见种植转移。结论：应用微波止血分离器行腹腔镜肝切除术止血可靠，术后无严重并发症，是一种安全可行的切肝方法。

Application of microwave hemostatic device in laparoscopic hepatectomy

Objective: To evaluate the application value of microwave hemostatic device in laparoscopic hepatectomy. Methods: The clinical data of 28 patients undergoing laparoscopic hepatectomy with microwave hemostatic device (HeSetor) from July 2009 to June 2013 were retrospectively analyzed. Results: Laparoscopic hepatectomy was successfully completed in all the 28 patients and no conversion or surgical death occurred. The average operative time was (124±45) min and average intraoperative blood loss was (140±110) mL. No postoperative hemorrhage, bile leakage or liver function failure occurred in the entire group of patients. The mean length of postoperative hospital stay was (6.9±2.7) d. Follow-up was conducted for 6 to 53 months in the 28 patients, and intrahepatic recurrence occurred in 6 cases with hepatocellular carcinoma in postoperative 5–16 months, but no port site tumor implantation was observed. Conclusion: Laparoscopic hepatectomy with microwave hemostatic device can provide excellent hemostatic effect without severe postoperative complications, so it is a safe and feasible technique for liver resection.