Romano Fabrizio, Garancini Mattia, Uggeri Fabio, Degrate Luca, Nespoli Luca, Gianotti Luca, Nespoli Angelo, Uggeri Franco
Unit of Hepatobiliary and Pancreatic Surgery, Department of Surgery, San Gerardo Hospital, University of Milan-Bicocca, Via Donizetti 106, 20052 Monza, Italy.
HPB Surg. 2012;2012:169351. doi: 10.1155/2012/169351. Epub 2012 Nov 18.
Liver resections are demanding operations which can have life threatening complications although they are performed by experienced liver surgeons. The parameter "Blood Loss" has a central role in liver surgery, and different strategies to minimize it are a key to improve results. Moreover, recently, new technologies are applied in the field of liver surgery, having one goal: safer and easier liver operations. The aim of this paper is to review the different principal solutions to the problem of blood loss in hepatic surgery, focusing on technical aspects of new devices.
肝切除术是要求很高的手术,尽管由经验丰富的肝脏外科医生进行,但仍可能出现危及生命的并发症。“失血”参数在肝脏手术中起着核心作用,采用不同策略将失血降至最低是改善手术效果的关键。此外,近年来,新技术被应用于肝脏手术领域,其目标只有一个:使肝脏手术更安全、更简便。本文旨在综述肝手术中失血问题的不同主要解决方案,重点关注新设备的技术方面。