应用SLG—5型肝钳行肝叶切除术

本文主要阐明1983～1985年应用SLG—5型肝钳行肝叶切除术13例。在需切断面的内侧夹紧肝钳就不再需要阻断第一、第二肝门和近肝段的上下腔静脉。然后切开肝包膜和肝实质。遇到管道时、钳夹、切断与结扎横断面上的血管与胆管,本组病例比以前肝叶切除术者出血少,这种SLG—5型肝钳安全可靠、无手术并发症和手术死亡率。

HEPATIC LOBECTOMY USING THE SLG-5 TYPE HEPATIC CLAMP

Thirteen cases of hepatic lobectomy with the SLG-5 type hepatic clamp were performed between 1983-1985. They underwent left hepatectomy of out-side lobe, half-hepatectomy of left lobe or right hepatic lobectomy. The patients survived the operations. This article describes the breaking of the liver with SLG-5 type hepatic clamp within the plane of transection. Without the breaking of first portal plane, second portal plane and upper lower Vena Cava of a near-hepatic, the operation' proceeded with incising the capsule of the liver and transection of the liver parenchyma and clamping, dividing and ligating the vessels and ducts as they traverse the inter lobe plane. All of procedure bleeding lessen than previous operation. That was too in the main secured. There have been found no postoperative morbidity and mortality.