单用双极电凝断肝法与钳夹法在肝蒂横断法肝切除术中-肿瘤防治研究.PDF

1016 2015 42 10  Cancer Res Prev Treat,2015,Vol.42,No.10 · · 肿瘤防治研究 年第 卷第 期 doi:10.3971/j.issn.1000-8578.2015.10.014 · · 临床应用 单用双极电凝断肝法与钳夹法在肝蒂横断 法肝切除术中的比较 潘龙，黄平，杜成友，李德卫 Comparison between Bipolar Coagulation and Classical Clump Crushing Technique in Hepatectomy with Glisson’s Pedicle Transection Method PAN Long, HUANG Ping, DU Chengyou, LI Dewei Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China Corresponding Author: HUANG Ping, E-mail: huangpchina@ Abstract: Objective To evaluate the application of bipolar coagulation in hepatectomy with Glisson’s pedicle transection method by comparing the efficacy of bipolar coagulation alone and classical clump crushing technique. Methods We collected clinical data of 101 primary hepatic carcinoma patients who received hepatectomy with Glisson’s pedicle transection method. According to the use of bipolar coagulation, it was differed into bipolar coagulation alone group and clamp crushing technique group. Clinical details between two groups were compared. Results The two groups were similar in Child-Pugh classification, indocyanine green clearance rate at 15minutes(ICGR15), liver sclerosis, and operation time(P0.05). There were significance differences in bleeding amount[(488.89±268.76) vs. (390.00±209.82)ml, P=0.041], blood transfusion rate(25.92% vs. 8.51%, P=0.023), serum albumin in the first postoperative day[(25.69±4.27) vs. (27.57±4.11)ml, P=0.026] and peritoneal drainage amount in 24h after operation[60.00(10.00, 135.00) vs. 50.00(30.00, 80.00)ml P=0.039]. Conclusion Compared with classical clump crushing technique, the application of bipolar coagulation in hepatectom