选择性出入肝血流阻断在肝脏巨大肿瘤切除术中的应用
胡智明;吴伟顶;张成武;张宇华;叶再元;赵大建
【期刊名称】《中华肿瘤杂志》 【年(卷),期】2008(030)008
【摘要】Objective To evaluate the effects of selective hepatic vascular exclusion(SHVE)on prevention of serious hemorrhage and air embolism during hepatectomy and on the liver function after operation.Methods From January 2004 to March 2007,29 huge hepatic tumors were resected in our department.Both SHVE and Pringle maneuver were used to control the blood loss during hepatectomy.They were divided into two groups:SHVE group(15 cases)and PrinCe group(14 cases).Data regarding the intraoperative and postoperative courses of the patients were analyzed. Results There was no significant difference between the two groups regarding the age,sex,tunlor size,cirrhosis,HbsAg positive rate and operating time(P＞0.05).Intraoperative blood loss was reduced significantly in the SHVE group(P＜0.05).The serum prealbumin levels on the postoperative day 1,3 and 7 in SHVE group were significantly higher than those in the PrinCe group(P＜0.05).The semm ALT value in SHVE group was significantly lower than that in the PrinCe group on postoperative day 1,3 and 7.The mean drainage volume in SHVE group was significantly less than that in the PrinCe group on postoperative day 1 and 2.Liver failure occurred in two cases of the PrinCe group,while
选择性出入肝血流阻断在肝脏巨大肿瘤切除术中的应用
