半肝入肝血流阻断在肝叶切除术16例中的应用

目的：探讨半肝入肝血流阻断在肝切除术中的应用，减少术中出血，减轻肝功能损害，降低手术风险系数。方法：回顾性总结16例患者术中阻断半肝血流，行肝叶切除、肝内胆管直视下切开取石等手术后，患者术后并发症、肝内胆管结石的残石率、再手术率以及术后患者的肝功能恢复情况等。结果：本组无手术死亡，术后肝功能恢复快，无并发症发生。结论：该方法可以控制肝切除术中的失血，保留了健侧肝脏的血运，术中及术后对肝功能损伤较轻。是一种可行、合理的肝血流阻断方法。

Clinical Application of the Half-hepatic Blood Occlusion for Hepatectomy

Objective： To investigate the clinical application of the half-hepatic blood occlusion for hepatectomy to decrease bleeding during the operation, relieve liver functional impairment and decrease operation risk. Methods： Sixteen cases of half-hepatic blood flow occlusion intra-operation underwent operations of hepatectomy and the stones were removed by cholangiotomy. The postoperative complications, the residual stone in intrahepatic cholelithes, the reoperation rate and the index of liver function were evaluated. Results： After operation, all cases obtained quick recovery of the liver function, and no death and complications occurred. Conclusion： The hemi-hepatic blood flow occlusion for hepatectomy was a feasible,reasonable and effective procedure due to its good control of blood loss,retention of blood circulation in the healthy side of the liver, and lessening of intraoperation and postoperation liver dysfunction.