关键词: 自制铐式肝钳, 半肝血流阻断法肝段切除, 不阻断肝门血流肝段切除, 出血, 胆瘘, 血流变学, 肝肾功能, 肝段切除

Abstract:

BACKGROUND: Half liver, hepatic segments and partial liver resection can reduce the incidence of liver dysfunction and biliary fistula by half liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers.
OBJECTIVE: To explore operation safety and influence of half liver, hepatic segments, partial liver resection on blood-flowing-change, function of liver and kidney by half liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers.
METHODS: Eighty-five patients with half liver, hepatic segments, partial liver resection were selected, 31 patients that treated by liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers were considered as the experimental group; 54 patients in the same period were treated by liver amputation with out broken liver-door-blood way. The bleeding, biliary fistula, blood rheology and function of liver and kidney were compared after operation.
RESULTS AND CONCLUSION: The 31 patients in the experimental had less bleeding, no biliary fistula and little influence in blood rheology and function of liver and kidney. It demonstrates that the half liver blood broken method and local blood flow blocking method with self-made handcuffs liver pincers for half liver, hepatic segments, partial liver resection are safe and effective.