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目的探讨超声吸引刀(CUSA)结合血流阻断技术行解剖性半肝切除的应用体会。方法 2007年1月至2009年1月间,采用CUSA结合血流阻断技术[半肝蒂血流阻断和(或)或选择性肝静脉血流阻断]对18例肝细胞癌患者进行解剖性半肝切除,以期减少术中出血、输血量及术后并发症发生率。结果术中平均出血量450mL(250～1500mL),88.9%病例(16/18)不需输血。术后并发症发生率为38.8%(7/18),以胸腔积液最为常见,无围术期死亡病例。结论在解剖性半肝切除术中联合应用CUSA和肝血流阻断技术是安全的,解剖性肝切除可能提高HCC患者的手术疗效。
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更新时间：2015-07-06
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超声吸引刀结合血流阻断技术在解剖性半肝切除中的应用
Combined application of cavitron ultrasonic surgical aspirator and vascular exclusion in anatomical hemi-hepatectomy
微创医学 201005期 页码：441-443
作者机构： 广西医科大学第一附属医院肝胆血管外科
基金信息：
- 中文简介
- 英文简介
- 参考文献
Objective To explore the applied experience of cavitron ultrasonic surgical aspirator(CUSA) and hepatic vascular exclusion in anatomical hemi-hepatectomy.Methods From January 2007 to January 2009,combined uses of CUSA and vascular exclusion technique (hemi-hepatic pedicle exclusion with/or selective hepatic vein occlusion)were carried on the dissectional half liver excision for 18 cases of hepatocellular carcinoma(HCC).Results The median intraoperative blood loss was 450ml (250-1 500 ml),and 88.9% of the patients (16/18)didn′t need perioperative blood transfusion.The postoperative complication occurred in 38.8% of the patients (7/18) with pleural effusion most common,no death case was oberserved during perioperative period.Conclusion Combined application of CUSA and vascular exclusion technique allow anatomical hemi-hepatectomy to be done safely and might gain improved surgical outcome of HCC.
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