使用新开发的血管封闭装置BiClamp进行纯腹腔镜下部分肝切除术。
Pure laparoscopic partial hepatectomy using a newly developed vessel sealing device, BiClamp.
作者信息
Uchiyama Hideaki, Itoh Shinji, Higashi Takahiro, Korenaga Daisuke, Takenaka Kenji
机构信息
Department of Surgery, Fukuoka City Hospital, Hakata-ku Fukuoka, Japan.
出版信息
Surg Laparosc Endosc Percutan Tech. 2013 Jun;23(3):e116-8. doi: 10.1097/SLE.0b013e3182806535.
PURPOSE
The aim of the current study was to investigate whether pure laparoscopic partial hepatectomy can be safely performed using a newly developed vessel sealing device, BiClamp.
METHODS
Nine cases of pure laparoscopic partial hepatectomy were performed by simply transecting liver parenchyma using the BiClamp. Four patients had a cirrhotic liver. The median tumor diameter was 1.5 cm (range, 1.0 to 2.7 cm). The tumors were located in segment (S) 3 in 3 cases, S4 in 1 case, S5 in 2 cases, S6 in 1 case, and S8 in 2 cases. Simultaneous cholecystectomy was performed in 4 cases.
RESULTS
The median operation time was 187 minutes (range, 83 to 423 min) and the median estimated blood loss was little (range, little to 417 mL). All patients were discharged from the hospital without any adverse postoperative consequences.
CONCLUSIONS
BiClamp is an effective device for transecting liver parenchyma during pure laparoscopic partial hepatectomy, even in cirrhotic livers.
目的
本研究的目的是调查使用新开发的血管闭合装置BiClamp能否安全地进行单纯腹腔镜下肝部分切除术。
方法
通过使用BiClamp简单横断肝实质，实施了9例单纯腹腔镜下肝部分切除术。4例患者患有肝硬化。肿瘤中位直径为1.5厘米（范围为1.0至2.7厘米）。肿瘤位于第3段（S3）3例、S4 1例、S5 2例、S6 1例、S8 2例。4例患者同时进行了胆囊切除术。
结果
中位手术时间为187分钟（范围为83至423分钟），中位估计失血量很少（范围为很少至417毫升）。所有患者均出院，术后无任何不良后果。
结论
BiClamp是在单纯腹腔镜下肝部分切除术中横断肝实质的有效装置，即使在肝硬化肝脏中也是如此。
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