肝下下腔靜脈阻斷聯(lián)合入肝血流阻斷在復(fù)雜肝切除術(shù)中應(yīng)用

《肝下下腔靜脈阻斷聯(lián)合入肝血流阻斷在復(fù)雜肝切除術(shù)中應(yīng)用》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。

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3、N)0?P?b????????b?????????б??????????????????????*7$????1SJOHMF???????????????$71??????????b??????????????????????b}???~???????????????????????????3??????"ApplicationofinfrahepaticinferiorvenacavaclampingcombinedwithPringlemaneuverincomplexhepatectomySUIChen

4、g-jun,SHENWei-feng,LUJiong-jiong,etal.DepartmentofSpecialMedicalCareúandLiverTransplantation,EasternHepatobiliaryHospital,theSecondMilitaryMedicalUniversity,Shanghai200438,ChinaCorrespondingauthor:YANGJia-mei,E-mail:jmyang@smmu.edu.cnAbstractObjectiveToexplorethec

5、linicalvalueofinfrahepaticinferiorvenacava(IVC)clampingcombinedwithPringlemaneuverincomplexhepatectomy.MethodsNinetyonecaseswhounderwenthepatectomybetweenMarch2010andDecember2011wereeligibleandanalyzedretrospectively.IVCclampingcombinedwithPringlemaneuverwasapplie

6、dto43cases(groupA)andPringlemaneuveralonewasappliedto48cases(groupB).Dataonpatientdemographics,surgicalprocedureandoutcomewerecollectedandcomparedbetweenthetwogroups.ResultsTotalintraoperativebloodloss(312.79±267.28mLvs.471.04±317.80mL,P=0.01)andbloodlossduringpar

7、enchymaltransaction(80.70±79.77mLvs.200.21±165.09mL,P=0.00)weresignificantlylessingroupAthaningroupB.TheCVPwas8.47±2.60cmH2ObeforeIVCclampingand1.81±2.34cmH2OafterIVCclampingingroupA,whichdecreasedby6.66cmH2O(P<0.05).AndtheCVPwassignificantlyloweringroupAthaningro

8、upBduringparenchymaltransection(1.81±2.34cmH2Ovs.7.21±2.27cmH2O,P<0.05).Thepostoperativeliverandrenalfunctionsandtotalmorbidityrateswerecomparablebetwee