Zhang Dan, Tan Ming-Da, Zheng Ming-You, Wang Huai-Zhi, Xiao Lin-Kang
Department of Radiology, Chongqing General Hospital, Chongqing, China.
Department of Hepatopancreatobiliary Surgery, Chongqing General Hospital, Chongqing, China.
Front Surg. 2023 Jan 10;9:1018953. doi: 10.3389/fsurg.2022.1018953. eCollection 2022.
Liver trauma with hemodynamic instability is extremely dangerous. Exploratory surgery after fluid resuscitation is a potentially effective method to save lives. Although there have been great advances in laparoscopic techniques for hepatectomy, laparoscopy is rarely used for liver trauma. According to our previous experience, laparoscopic infrahepatic inferior vena cava (IVC) clamping was a safe and effective technique to reduce central venous pressure (CVP) and control bleeding during hepatectomy. In this article, we described a case of grade V liver trauma that had been managed by an entirely laparoscopic approach using infrahepatic IVC partial clamping, outlining the technique of laparoscopy for liver trauma and the postoperative outcomes.
伴有血流动力学不稳定的肝外伤极其危险。液体复苏后进行探查性手术是一种可能有效的挽救生命的方法。尽管肝切除术的腹腔镜技术取得了很大进展,但腹腔镜很少用于肝外伤。根据我们之前的经验,腹腔镜下肝下下腔静脉(IVC)阻断是一种在肝切除术中降低中心静脉压(CVP)和控制出血的安全有效技术。在本文中,我们描述了一例通过完全腹腔镜方法使用肝下IVC部分阻断处理的V级肝外伤病例,概述了肝外伤的腹腔镜技术及术后结果。