2023年4月第30卷第4期交替性入肝血流阻断在腹腔镜肝部分切除中的应用范志超1，于凤姣2（鹤壁市人民医院1普外科，2消化内科，河南鹤壁458030）【摘要】目的探讨交替性入肝血流阻断在腹腔镜肝部分切除中的应用效果。方法60例行腹腔镜肝部分切除患者按照入组顺序分为两组，对照组采用间断Pringle血流阻断，观察组采用交替性入肝血流阻断，比较两组的手术指标、肝功能以及并发症。结果观察组的手术时间长于对照组，术中出血量、术中输血量均少于对照组（P＜0．05）。观察组术后的ALT、AST、TBIL水平均低于对照组，住院时间短于对照组（P＜0．05）。两组的并发症发生率比较，差异无统计学意义（P＞0．05）。结论交替性入肝血流阻断可减少腹腔镜肝部分切除患者的术中出血量，缩短住院时间，减轻对肝功能的损伤。【关键词】交替性入肝血流阻断；腹腔镜肝部分切除；肝功能中图分类号：R657.3文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0463ApplicationofAlternateHepaticInflowOcclusioninLaparoscopicPartialHepatectomy//FANZhichao1,YUFengjiao2(1DepartmentofGeneralSurgery,2DepartmentofGastroenterology,HebiPeople'sHospital,Hebi458030,China)[Abstract]ObjectiveToexploretheapplicationeffectofalternatehepaticinflowocclusioninlaparoscopicpartialhepatectomy.Methods60patientswithlaparoscopicpartialhepatectomyweredividedintotwogroupsaccordingtotheorderofenrollment.ThecontrolgroupreceivedintermittentPringlebloodflowocclusion,andtheobservationgroupreceivedalternatehepaticinflowocclusion.Thesurgicalindicators,liverfunctionandcomplicationswerecomparedbetweenthetwogroups.ResultsTheoperationtimeoftheobservationgroupwaslongerthanthatofthecontrolgroup,andtheintraoperativebloodlossamountandintraoperativebloodtransfusionamountwerelessthanthoseofthecontrolgroup(P<0.05).ThelevelsofALT,ASTandTBILaftersurgeryoftheobservationgroupwerelowerthanthoseofthecontrolgroup,andthehospitalizationtimewasshorterthanthatofthecontrolgroup(P<0.05).Nosignificantdifferencewasfoundintheincidenceofcomplicationsbetweenthetwogroups(P>0.05).ConclusionsAlternatehepaticinflowocclusioncanreducetheintraoperativebloodlossamount,shortenhospitalizationtime,andreducethedamagetoliverfunction...
