摘要
目的:探讨肝中叶切除术的临床技巧及手术安全性。方法:选取2018年10月-2020年4月接受肝中叶切除术的患者15例,结合患者临床资料,对肝中叶切除术的临床技巧及手术安全性进行分析。结果:术后并发症发生率为20.00%(3/15),包括胆漏1例、大量胸腔积液1例与呼吸窘迫综合征1例;经过有效的治疗干预后均治愈。结论:保证肝中叶切除术成功的重点在于术前对患者肝功能以及切除可行性进行有效评估。同时手术过程中需要认真操作,严格控制出血,合理处理肝创面,保证残肝流入道和流出道具有良好的完整性,提高手术成功率。
Objective:To explore the clinical skills and safety of middle lobe hepatectomy.Methods:From October 2018 to April 2020,15 patients with middle lobe hepatectomy were selected,combined with the clinical data of patients,we analyzed the clinical skills and safety of middle lobe hepatectomy.Results:The incidence of postoperative complications was 20.00%(3/15),there were 1 case of bile leakage,1 case of massive pleural effusion and 1 case of respiratory distress syndrome.All patients were cured after effective treatment and intervention.Conclusion:The key to ensure the success of middle lobe hepatectomy is to effectively evaluate the patient's liver function and the feasibility of hepatectomy.At the same time,during the operation,we need to operate carefully,strictly control the bleeding,reasonably deal with the liver wound,and ensure the integrity of the inflow and outflow props of the residual liver,so as to improve the success rate of the operation.
作者
何华日
He Huari(Hepatobiliary Pancreatic Splenic Surgery,the Central Hospital of Yongzhou City,Hunan Yongzhou 425000)
出处
《中国社区医师》
2021年第31期10-11,共2页
Chinese Community Doctors
关键词
肝中叶切除术
临床技巧
手术安全性
Middle lobe hepatectomy
Clinical skills
Surgical safety
