腹腔镜超声在腹腔镜左半肝切除术中的应用研究

发布时间：2018-03-29 18:20

本文选题：腹腔镜　切入点：腹腔镜超声　出处：《肝胆胰外科杂志》2016年01期

【摘要】：目的探讨腹腔镜超声(laparoscopic ultrasound,LUS)在腹腔镜左半肝切除术(laparoscopic left hemi-hepatectomy,LLH)中的应用价值。方法选取2012年3月至2014年3月我院肝胆微创外科收治的66例行腹腔镜左半肝切除术患者的临床资料。根据是否使用LUS分为两组:超声组36例,术中使用LUS;对照组30例,未使用LUS者。比较两组患者的手术时间、术中出血量、肝中静脉损伤率、术后并发症、术后住院时间等。结果与对照组比,超声组术中出血量、肝中静脉损伤率、中转开腹率减少,差异有统计学意义(P0.05);但手术时间、术后并发症、术后住院时间差异无统计学意义(P0.05)。结论在腹腔镜左半肝切除术中使用LUS可以有效减少术中出血量、肝中静脉损伤从而避免中转开腹,但并不会延长手术时间,不会增加术后并发症发生率,不会缩短住院时间。LUS可以为腹腔镜左半肝切除手术提供"指引",增加了手术的安全性,值得临床推广。
[Abstract]:Objective to evaluate the value of laparoscopic ultrasound in laparoscopic left hemihepatectomy (LLHs). Methods 66 patients undergoing laparoscopic left hemihepatectomy were treated in our hospital from March 2012 to March 2014. Clinical data. According to whether or not to use LUS divided into two groups: ultrasound group of 36 cases, Operation time, intraoperative bleeding volume, middle hepatic vein injury rate, postoperative complications and postoperative hospital stay were compared between the two groups. Results compared with the control group, the volume of intraoperative bleeding in the ultrasound group was higher than that in the control group. The injury rate of middle hepatic vein and the rate of conversion to laparotomy were decreased, the difference was statistically significant (P 0.05), but the operative time, postoperative complications, There was no significant difference in the length of hospitalization after operation (P 0.05). Conclusion the use of LUS in laparoscopic left hemihepatectomy can effectively reduce the amount of blood lost during the operation and the injury of the middle hepatic vein, thus avoiding the conversion to open surgery, but it does not prolong the operation time. It does not increase the incidence of postoperative complications and does not shorten the hospital stay. LUS can provide "guidance" for laparoscopic left hemihepatectomy, and increase the safety of the operation, which is worthy of clinical promotion.
【作者单位】：宁波市医疗中心李惠利医院肝胆微创外科;
【分类号】：R445.1;R657.3

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