Comparison on the Application Value of Two Kinds of Hepatic Inflow Occlusion Methods in Laparoscopic Hepatectomy
LUO Yufeng;ZHANG Yaoming;DENG Guoming;ndDepartment of Hepatobiliary Surgery, Meizhou People's Hospital;
Objective To explore the application value of two kinds of hepatic inflow occlusion methods in laparoscopic hepatectomy. Methods 33 cases of patients with laparoscopic hepatectomy admitted to our hospital from January 2015 to January 2017 were selected as research objects. According to the hepatic inflow occlusion methods, all cases were divided into group A and group B. 17 cases of group A received total hepatic inflow occlusion, while 16 cases of group B received selective hepatic inflow occlusion. The operation condition and postoperative liver function indicators were observed and compared between two groups. Results No statistical difference was found between two groups in the operation time or intraoperative blood loss(P 0.05), while the intraoperative blood transfusion volume of group B was significantly more than that of group A(P 0.05). 1 day and 3 days after surgery, the liver function indicators of group B were significantly better than those of group A(P 0.05). No severe complication or death case was found in both groups. Conclusions Both total hepatic inflow occlusion and selective hepatic inflow occlusion are feasible in laparoscopic hepatectomy.However, selective hepatic inflow occlusion can protect the liver function, which is beneficial to postoperative recovery.
【CateGory Index】： R657.3