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用于肝大部切除术的机器人肝下腔静脉钳夹和普林格尔手法：一种安全且无血的手术——首例技术报告

Robotic infrahepatic vena cava clamping and Pringle manoeuvre for major hepatectomy: A safe and bloodless procedure - First technical report.

作者信息

Marchegiani Francesco, Pesce Antonio, Damoli Isacco, Huscher Cristiano

机构信息

Department of Surgical Oncology, Robotics and New Technologies, Policlinico Abano; Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, Padua, Italy.

Department of Surgical Oncology, Robotics and New Technologies, Policlinico Abano, Padua, Italy.

出版信息

J Minim Access Surg. 2021 Oct-Dec;17(4):566-569. doi: 10.4103/jmas.JMAS_275_20.

DOI:10.4103/jmas.JMAS_275_20
PMID:34259205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8486061/
Abstract

Mini-invasive approaches in hepatic surgery are associated with a significant decrease in the incidence of post-operative morbidity and liver failure. Intraoperative blood loss represents the major intraoperative accident during hepatectomy. Infrahepatic inferior vena cava clamping is an emerging technical trick which guarantees a lower intraoperative blood loss and transfusion rates during liver surgery. Herein, we present the first report of infrahepatic caval clamping during robotic hepatectomy at our centre, highlighting some technical tips and tricks.

摘要

肝脏手术中的微创方法与术后发病率和肝衰竭发生率的显著降低相关。术中失血是肝切除术中主要的术中意外情况。肝下下腔静脉阻断是一种新出现的技术窍门，可确保肝脏手术期间较低的术中失血量和输血率。在此，我们展示了我们中心在机器人肝切除术中进行肝下腔静脉阻断的首例报告，并重点介绍了一些技术要点和窍门。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/cfef5ac0b37a/JMAS-17-566-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/35737f233fc2/JMAS-17-566-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/af883807e3a6/JMAS-17-566-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/be77f75b3b0b/JMAS-17-566-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/fcf33ece4a8d/JMAS-17-566-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/95d6ba9ee62b/JMAS-17-566-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/cfef5ac0b37a/JMAS-17-566-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/35737f233fc2/JMAS-17-566-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/af883807e3a6/JMAS-17-566-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/be77f75b3b0b/JMAS-17-566-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/fcf33ece4a8d/JMAS-17-566-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/95d6ba9ee62b/JMAS-17-566-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/796b/8486061/cfef5ac0b37a/JMAS-17-566-g006.jpg

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本文引用的文献

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Minimally Invasive Stage 1 to Protect Against the Risk of Liver Failure: Results from the Hepatocellular Carcinoma Series of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy Italian Registry.微创一期手术预防肝功能衰竭风险：意大利关联肝脏分割和门静脉结扎分阶段肝切除术肝癌系列注册研究结果。
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Laparoscopic vs Open Surgery for Colorectal Liver Metastases.
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Usefulness of Infra-hepatic Inferior Vena Cava Clamping During Liver Resection: a Meta-analysis of Randomized Controlled Trials.肝下下腔静脉阻断在肝切除术中的作用：一项随机对照试验的荟萃分析。
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Effect of infrahepatic inferior vena cava clamping on bleeding during hepatic resection: A meta-analysis.肝切除术时肝下下腔静脉阻断对出血的影响：荟萃分析。
Asian J Surg. 2018 Nov;41(6):523-529. doi: 10.1016/j.asjsur.2017.11.003. Epub 2017 Dec 15.
7
Infrahepatic inferior vena cava clamping with Pringle maneuvers for laparoscopic extracapsular enucleation of giant liver hemangiomas.肝下下腔静脉阻断联合 Pringle 手法在腹腔镜肝巨大血管瘤包膜外剥除术中的应用
Surg Endosc. 2017 Sep;31(9):3628-3636. doi: 10.1007/s00464-016-5396-6. Epub 2017 Jan 27.
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Laparoscopic and robotic approach for hepatocellular carcinoma-state of the art.肝细胞癌的腹腔镜和机器人手术方法——最新技术水平
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