微波止血分离器在腹腔镜肝切除术中的应用
| 作者: |
1赵超尘,
1岑钧华,
1王晓明,
1李君
1 广州医科大学附属第一医院 肝胆外科，广东 广州 510120 |
| 通讯: |
李君
Email: zcc05@msn.com |
| DOI: | 10.3978/.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。
关键词：
肝切除术，腹腔镜
止血技术
微波
Application of microwave hemostatic device in laparoscopic hepatectomy
CorrespondingAuthor:LI Jun Email: zcc05@msn.com
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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