临床研究(Clinical Research)

微波止血分离器在腹腔镜肝切除术中的应用

Published at: 2015年第24卷第1期

赵超尘 1 , 岑钧华 1 , 王晓明 1 , 李君 1
1 广州医科大学附属第一医院 肝胆外科,广东 广州 510120
通讯作者 君 李 Email: zcc05@msn.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.01.016
基金:
广东省科学技术厅资助项目 2012B031800494

摘要

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

Abstract

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.


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引用

引用本文: 超尘 赵, 钧华 岑, 晓明 王, 君 李. 微波止血分离器在腹腔镜肝切除术中的应用[J]. 中国普通外科杂志, 2015, 24(1): 84–87.
Cite this article as: ZHAO Chaochen, CEN Junhua, WANG Xiaoming, LI Jun . Application of microwave hemostatic device in laparoscopic hepatectomy[J]. Chin J Gen Surg, 2015, 24(1): 84–87.