Liver Hanging Maneuver Decreases Blood Loss and Operative Time in a Right-Side Hepatectomy
Liver Hanging Maneuver Decreases Blood Loss and Operative Time in a Right-Side Hepatectomy
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DOI：
10.5754/hge09737
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发表时间：
2012-03-01
影响因子：
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通讯作者：
Baba, Hideo
中科院分区：
文献类型：
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作者：
Beppu, Toru;Ishiko, Takatoshi;Baba, Hideo
背景/目的：阐明该手法在右侧肝切除术中的临床益处。方法：对81例肝肿瘤患者(肝细胞癌54例，转移性肝癌17例，其他肿瘤10例)进行前瞻性分析。将患者分为三组：A组(n=21)、B组(n=19)和C组(n=41)，A组为常规入路，B组为肝动员后悬挂法肝切除，C组为肝动员前悬吊法肝切除。结果：B、C两组患者均安全行肝悬吊术，肿瘤大小与术中出血量呈显著正相关(R=0.52，P
Background/Aims: To clarify the clinical benefits of the maneuver in right-side hepatectomy. Methodology: Eighty-one patients with liver tumor (54 hepatocellular carcinoma, 17 metastatic liver tumor and 10 other tumors) treated with a right-side hepatectomy were prospectively analyzed. The patients were divided into the following three groups: a conventional approach (group A, n=21); liver dissection under the hanging maneuver after liver mobilization (group B, n=19) and liver dissection under the hanging maneuver prior to liver mobilization (group C, n=41). Results: The liver hanging maneuver was safely performed in all the patients in groups B and C. Tumor size had a significantly positive correlation with the amount of intraoperative blood loss (R=0.52, p