橡胶止血带技术：新生儿和婴儿肝切除术的一种简单、安全且具有成本效益的方法。
Rubber tourniquet technique: A simple, safe, and cost-effective method of hepatic resection in neonates and infants.
机构信息
Section of Pediatric Surgery, Department of Surgery, The Aga Khan University, Stadium Road, Karachi 74800, Pakistan.
出版信息
J Pediatr Surg. 2019 Jun;54(6):1250-1252. doi: 10.1016/j.jpedsurg.2018.10.048. Epub 2018 Oct 23.
BACKGROUND
Despite the improvements in patient care, understanding of surgical anatomy of liver and surgical techniques, liver resection is a high-risk procedure specifically in infants and neonates; whose blood volume is limited (80 ml/kg). This report shares the experience of hepatic resection with "Rubber tourniquet technique" in patients less than 6-months of age.
METHODS
Hepatic resection in a 4-month-old pair of Conjoined twins with shared liver and a 3-day old baby with large Congenital Hepatoblastoma was performed using Penrose rubber drain as a tourniquet around the liver parenchyma to reduce blood loss.
RESULTS
Blood loss was minimal (<20CC) and all the three babies survived the procedure without complications.
CONCLUSION
Rubber tourniquet technique is simple, safe and cost-effective for liver resections in neonates and infants with hepatic lesions and separation of conjoined twins with shared liver and it can easily be employed in resource constraint settings.
背景
尽管患者护理、对肝脏的外科解剖结构和外科技术的理解有所改善，但肝切除术仍然是一种高风险的手术，特别是在婴儿和新生儿中；他们的血容量有限（80ml/kg）。本报告分享了在小于 6 个月大的患者中使用“橡胶止血带技术”进行肝切除术的经验。
方法
使用彭罗斯橡胶引流管作为肝实质周围的止血带，对一对 4 个月大的联体双胞胎（肝脏共享）和一名 3 天大的患有巨大先天性肝母细胞瘤的婴儿进行肝切除术，以减少出血。
结果
出血量极少（<20CC），所有 3 名婴儿均在无并发症的情况下顺利完成手术。
结论
橡胶止血带技术对于肝切除术是简单、安全且具有成本效益的，适用于患有肝部病变的新生儿和婴儿，以及肝脏共享的联体双胞胎的分离，并且可以在资源有限的环境中轻松应用。
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