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部分肝切除术使用线性切割器:有优势吗?

Marcio Fernandes Chedid1, Pietro Waltrick Brum1, Tomaz de Jesus Maria Grezzana-Filho1

  • 1Universidade Federal do Rio Grande do Sul, Porto Alegre University Hospital, Hepatobiliary Surgery and Liver Transplantation Unit - Porto Alegre (RS), Brazil.

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
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PubMed
概括

线性切割接器 (LCS) 为肝脏切除提供了一种高效,低成本的替代方案,它被证明对切割肝脏外围细胞和接血管有效. 对于其在主要肝切除术中的使用,需要进一步的研究.

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科学领域:

  • 肝胆道手术是肝胆道的手术.
  • 手术瘤学手术瘤学
  • 微创手术是最少的侵入性手术.

背景情况:

  • 切除肝脏会带来出血和胆管的风险.
  • 在Endo-GIA接器 (EG) 是有效的,但昂贵.
  • 线性切割刀 (LCS) 是一个更实惠的选择.

研究的目的:

  • 为了评估线性切割接器 (LCS) 在开放肝切除术中的有效性.
  • 评估LCS对切割肝脏副体和接质血管和胆道的切割.

主要方法:

  • 在10名患者身上进行了开放性肝切除.
  • 使用LCS进行肝膜切割和阻塞拼接.
  • 患者的病情包括良性瘤,结肠直肠转移和罕见的瘤转移.

主要成果:

  • 平均住院时间为5天.
  • 两名接受II/III段切除术的患者出现并发症 (血清瘤,液体收集).
  • 三名接受大切除术的患者出现并发症 (贫血,双瘤).

结论:

  • 在肝切除术时,LCS是一种高效且具有成本效益的合器,适合在没有EG的情况下使用.
  • 对于左侧段切除,LCS轴的大小是有利的.
  • 对于大肝切除和右叶瘤切除中的LCS安全性,需要进行进一步的研究.