腹腔镜肝切除术中普林格尔手法下肠道内夹的临床实用性：技术报告
Clinical usefulness of endo intestinal clips during Pringle's maneuver in laparoscopic liver resection: a technical report.
作者信息
Komeda Koji, Hayashi Michihiro, Inoue Yoshihiro, Shimizu Tetsunosuke, Asakuma Mitsuhiro, Hirokawa Fumitoshi, Miyamoto Yoshiharu, Uchiyama Kazuhisa
机构信息
Department of General and Gastroenterological Surgery, Osaka Medical College Hospital, Osaka, Japan.
出版信息
Surg Laparosc Endosc Percutan Tech. 2013 Jun;23(3):e103-5. doi: 10.1097/SLE.0b013e318277d3e9.
BACKGROUND
Control of bleeding is important in parenchymal transection during laparoscopic liver resection. We suggest a new technique using Endo intestinal clips for the intestinal tract to achieve easy, safe hepatoduodenal ligament clamping during laparoscopic liver resection.
METHODS
In this study, 10 consecutive patients underwent pure laparoscopic liver resection. Pringle's maneuver was performed using Endo intestinal clips directly on the hepatoduodenal ligament.
RESULTS
Laparoscopic Pringle's maneuver using Endo intestinal clips is very easy and safe. In this series, Pringle's maneuver was used a mean of 3.4 times (range, 1 to 5) in each case. Mean operative time was 271.0 minutes (range, 105 to 415 min) and mean volume of intraoperative blood loss was 119.5 mL (range, 10 to 320 mL). No intraoperative or postoperative morbidity or mortality was encountered.
CONCLUSIONS
Pringle's maneuver using Endo intestinal clips can be performed easily and safely during laparoscopic liver resection.
背景
在腹腔镜肝切除术中，控制出血对于实质切断术至关重要。我们提出一种使用肠道内镜夹的新技术，用于在腹腔镜肝切除术中轻松、安全地夹闭肝十二指肠韧带。
方法
在本研究中，连续10例患者接受了单纯腹腔镜肝切除术。使用肠道内镜夹直接在肝十二指肠韧带上进行Pringle手法。
结果
使用肠道内镜夹进行腹腔镜Pringle手法非常容易且安全。在本系列中，每例患者平均使用Pringle手法3.4次（范围为1至5次）。平均手术时间为271.0分钟（范围为105至415分钟），术中平均失血量为119.5毫升（范围为10至320毫升）。未发生术中或术后并发症或死亡。
结论
在腹腔镜肝切除术中，使用肠道内镜夹进行Pringle手法可以轻松、安全地完成。
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