Bulynin V I, Parkhisenko Iu A, Glukhov A A, Smoliarov B V, Rogachev V T
Khirurgiia (Mosk). 1996(2):108-9.
The results of applying jet dissection in resections of the liver in experiments and in the clinic are discussed. The method is based on washing off the hepatic tissues with a high-pressure jet of liquid to expose the intact vessels and ducts. To realize the method, "A device for separating tissues of parenchymatous organs" was developed, which worked according to the principle of an injector without a needle. The efficacy and the degree of trauma inflicted by the method were tested in experiments, after which it was applied in the clinic in 14 patients. The method made it possible to reduce essentially the volume of intraoperative blood loss, prevent the escape of bile in the postoperative period, reduce to the minimum hemotransfusion therapy, and shorten the stay of patients in the clinic. The results of jet dissection show the expedience of its use in surgical hepatology.
讨论了在实验和临床肝脏切除术中应用喷射分离法的结果。该方法基于用高压液体射流冲洗肝组织以暴露完整的血管和导管。为实现该方法，研发了“一种用于分离实质性器官组织的装置”，其工作原理类似于无针注射器。在实验中测试了该方法的有效性和造成的创伤程度，之后将其应用于14例临床患者。该方法能够大幅减少术中失血量，防止术后胆汁渗漏，将输血治疗降至最低，并缩短患者在临床的停留时间。喷射分离法的结果表明其在外科肝脏学中的应用是可行的。
