Serednicki Wojciech A, Hołówko Wacław, Major Piotr, Małczak Piotr, Pędziwiatr Michał
Department of Medical Education, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.
Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Warsaw, Poland.
Wideochir Inne Tech Maloinwazyjne. 2023 Jun;18(2):213-223. doi: 10.5114/wiitm.2022.124088. Epub 2023 Jan 11.
Laparoscopic liver resection has become a standard practice in many surgical wards in elective liver surgery, due to its positive impact on reducing hospital stay and postoperative complications, including lower blood loss and transfusion rate. However, achieving proper hemostasis in liver surgery, due to its vast blood supply, still remains a main concern to surgeons. Therefore, numerous techniques were and are still being developed to further reduce blood loss and transfusion rate. The aim of this literature review was to summarize the best available methods for achieving the minimal blood loss and transfusion rate in laparoscopic liver surgery, according to the newest data.
由于腹腔镜肝切除术对缩短住院时间和减少术后并发症(包括减少失血量和输血率)具有积极影响,它已在许多外科病房成为择期肝脏手术的标准术式。然而,由于肝脏血供丰富,在肝脏手术中实现恰当止血仍是外科医生主要关注的问题。因此,过去和现在都在不断开发众多技术以进一步减少失血量和输血率。这篇文献综述的目的是根据最新数据,总结在腹腔镜肝手术中实现最小失血量和输血率的最佳可用方法。