肝下下腔静脉阻断联合入肝血流阻断在复杂肝切除术中应用

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1、ᇏݓൌႨຓ॓ᄖᆽ୍ᄅज௹·771·ંᇷ໓ᅣщğčĎ؎ቅੀ࿓ۉೆކ৳؎ቅઝ࣡స༯༯ۉᄝگᄖۉ్ԢඌᇏႋႨේӵफđഫ຿ڂđ੤࣫࣫đպѧ޿đᅦૹڂđဗࡊ઼}ᅋေ~ଢฐษۉᄖگᄝĎمFMHOJS1č؎ቅੀ࿓ۉೆކ৳؎ቅĎ$7*čઝ࣡స༯༯ۉ్ԢඌᇏႋႨࡎᆴbۉa॓၂ਏᇍླหჽ၄॓ຓ։ۉٚת࿐ն၄फ༅ٳܤ߭مٚ၍ᆱ୍॓ᄅᇀ୍ᄅ๝၂൭ඌቆ൬ᇍ২مFMHOJS1ྛđĎቆ"č২؎ቅ$7*༯ۉمFMHOJS1ྛݔࢲbਘሧԵਢದѨඌ൭ࡱ่ކژ২č#

2、ቆĎbਆቆඌᇏሹԛ࿓ਈݖۉ؎đ-NĎčjބ-NĎčjູљٳӱᇏԛ࿓ਈݖۉ؎ࠣਈ࿓ԛሹᇏඌቆ"đ-NĎčjބ-NĎčjູљٳӱᇏԛ࿓ਈनૼཁႿ#ቆčPĎbਆቆቅ؎భᇏྏ࣡ઝ࿢č$71Ď໭ҵљŀčĎDN)0WTčĎDN)0čDN)0L1BĎłđ"ቆቅ؎ު$71ૼཁႿ#ቆŀčĎDN)0WTčĎD

3、N)0đPłbਆቆඌުѩۉંࢲbၬၩ࿐࠹๤໭ၳҵࢠбିۿയۉުඌࠣభඌđၬၩ࿐࠹๤໭ၳҵੱളᆡ༯*7$ቅ؎৳ކ1SJOHMFمႋႨᄝگᄖۉ్Ԣඌᇏॖૼཁࢆ$71đཁᇷࡨഒඌᇏാ࿓ਈbؓۉയۿି໭҂ਅ႕ཙđ҂ᄹࡆѩᆡളੱބѨඵੱb}ܱ࡯Ս~༯స࣡ઝቅ؎Ġۉ్ԢඌĠᇏྏ࣡ઝ࿢Ġඌᇏԛ࿓ᇏ๭োٳğ3໓ངѓᆽ઒ğ"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