双边滴水双极电凝在肝叶切除术中的应用
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杜成友, Email: duchengyou@126.com

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国家临床重点专科建设资助项目[(2012)649]。


Application of bilateral water-dripping bipolar coagulation in hepatic lobectomy
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    摘要:

    目的:评价双边滴水双极电凝在肝叶切除术中的应用价值。 方法:回顾性分析重庆医科大学附属第一医院2011年4月—2013年8月145例肝叶切除术患者资料,其中运用双边滴水双极电凝行肝切除93例(观察组),运用射频消融辅助行肝切除52例(对照组),比较两组患者的临床结果。 结果:两组患者术前资料具有可比性,所有患者均顺利完成肝叶切除手术。与对照组比较,观察组手术时间延长、手术相关费用减少、术后总并发症发生率降低(均P<0.05)。两组第一肝门阻断率、术中出血量、输血率、肝功恢复情况以及住院时间差异均无统计学意义(均P>0.05)。 结论:双边滴水双极电凝肝叶切除术术后并发症少、手术相关费用低,值得推荐使用。

    Abstract:

    Objective: To assess application value of bilateral water-dripping bipolar coagulation in hepatic lobectomy. Methods: The clinical data of 145 patients undergoing hepatic lobectomy in the first affiliated hospital of Chongqing Medical University between April 2011 and August 2013 were retrospectively analyzed. Of the patients, 93 cases underwent liver resection with bilateral water-dripping bipolar coagulation (observational group), and 52 cases received radiofrequency ablation (RFA)-assisted liver resection (control group). The clinical results of the two groups of patients were compared. Results: The preoperative data between the two groups were comparable, and all patients successfully received hepatic lobectomy. In observational group compared with control group, the operative time was prolonged, but the surgery-related cost and overall incidence of postoperative complications were significantly reduced (all P<0.05). There was no statistical difference between the two groups in terms of rate of first hepatic portal occlusion, intraoperative blood loss, transfusion rate, function recovery or length of postoperative hospital stay (all P>0.05). Conclusion: Hepatic lobectomy using bilateral water-dripping bipolar coagulation has the advantages of decreased postoperative complications and surgery-related cost, so it is recommended for use.

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徐波,杜成友.双边滴水双极电凝在肝叶切除术中的应用[J].中国普通外科杂志,2014,23(5):670-674.
DOI:10.7659/j. issn.1005-6947.2014.05.022

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  • 收稿日期:2014-01-25
  • 最后修改日期:2014-03-28
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  • 在线发布日期: 2014-05-15