文献综述(Review)

腹腔镜肝切除术中预防和控制出血的策略

Published at: 2017年第26卷第1期

张冲 1 , 张超 1
1 安徽医科大学第一附属医院 普通外科,安徽 合肥 230022
通讯作者 超 张 Email: smallcloud2@hotmail.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2017.01.016
基金:
安徽高校省级自然科学研究资助项目 KJ2014A117

摘要

近年来,腹腔镜微创技术发展迅速,腹腔镜肝切除术被逐渐运用于各种肝脏疾病的治疗,但由于创面出血难以控制的特点,腹腔镜下肝切除术仍具有一定难度。只有有效预防和控制术中出血,腹腔镜肝切除术才能顺利完成。目前预防和控制术中出血的方式主要有:肝血流阻断的方式、各种腹腔镜断肝器械的运用、腹腔镜超声技术、低中心静脉压技术、肝实质断面的处理等。笔者对以上几种方式做一个综述。


Strategy for prophylaxis and control of bleeding during laparoscopic hepatectomy

Abstract

In recent years, laparoscopic hepatectomy has increasingly become more established as a treatment option for various liver diseases, thanks to the rapid development in laparoscopic and minimally invasive techniques. However, it remains a challenging procedure because of difficulty in control of bleeding at the resection surface. The effective prevention and control of intraoperative bleeding is the basic premise for the completion of successful laparoscopic hepatectomy. At present, there are a variety of methods that have been used for prevention and control of intraoperative bleeding, including hepatic vascular occlusion, application of various devices for liver parenchymal transection, laparoscopic ultrasonography, controlled low central venous pressure, and resection surface treatments. Here, the authors review the current applications of these methods.


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引用

引用本文: 冲 张, 超 张. 腹腔镜肝切除术中预防和控制出血的策略 [J]. 中国普通外科杂志, 2017, 26(1): 96-101.
Cite this article as: ZHANG Chong, ZHANG Chao . Strategy for prophylaxis and control of bleeding during laparoscopic hepatectomy [J]. Chin J Gen Surg, 2017, 26(1): 96-101.