915-MHz microwave-assisted laparoscopic hepatectomy: a new technique for liver resection
915-MHz microwave-assisted laparoscopic hepatectomy: a new technique for liver resection
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915 MHz 微波辅助腹腔镜肝切除术：肝脏切除新技术
DOI：
10.1007/s00464-017-5945-7
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发表时间：
2019
影响因子：
3.1
通讯作者：
Zheng Shusen
中科院分区：
文献类型：
--
作者：
Dong Xiaogang;Sun Zhongquan;Wu Tianchun;Guo Wenjia;Yan Sheng;Zheng Shusen
研究背景肝横切术中出血是腹腔镜肝切除术的主要危险。方法对2016年1月至2016年6月在我中心接受915 MHz微波凝固或不加915 MHz微波凝固的60例LH患者的临床资料进行回顾性分析。30例患者接受915 MHz微波辅助促黄体术(MW组)，另30例作为对照组。术中出血量：微波组为26.83ml，对照组为186.33 mg/L(P<； ，0.001)。与对照组相比，微波组的实质处理时间(55.17vs.70.83min，P<； 0.001)、血液阻断时间(2.17vs.25.33min，P<； 0.001)和手术时间(120.67 vs.70.83min，P<； 0.001)均明显缩短。微波组术后并发症发生率(0.0%比14.3%，P= 0.038)和术后住院天数(6.00d比7.23d，P= 0.027)均低于对照组。
BackgroundHemorrhage during the liver transection is the major hazard for laparoscopic hepatectomy (LH). We aimed to evaluate the feasibility and safety of a 915-MHz microwave device used in LH.MethodsData were retrospectively analyzed regarding 60 patients who underwent LH with or without 915-MHz microwave coagulation at our center from January 2016 to June 2016. 30 patients underwent the 915-MHz microwave-assisted LH (MW group), and 30 patients otherwise were considered as control group.ResultsNo perioperative mortality was observed. Intraoperative blood loss amounts in microwave group and control group were 26.83 ml and 186.33 ml, respectively (P< 0.001). The durations of parenchyma transaction (55.17 vs. 70.83 min,P< 0.001), blood occlusion (2.17 vs. 25.33 min,P< 0.001), and operation (120.67 vs. 148.00 min,P< 0.001) were much shorter in microwave group compared with control group. Lower incidence of postoperative complications (0.0 vs. 14.3%,P= 0.038) and shorter length of postoperative hospital stay (6.00 vs. 7.23 days,P= 0.027) were also noted in the microwave group, compared with the control group.Conclusion915-MHz microwave-assisted LH was found to be safe and efficient.