Application of regional hepatic in-and outflow occlusion for laparoscopic left hemi-hepatectomy / 中华普通外科杂志

ABSTRACT

Objective To evaluate regional left sided in and out flow hepatic flow occlusion in laparoscopic left hemi-hepatectomy compared with in hepatic flow occlusion.Methods From Jan.2016 to Dec.2017,34 patients underwent laparoscopic left hemi-hepatectomy with regional hepatic in-out flow occlusion.Results were compared with 52 patients undergoing laparoscopic left hemi-hepatectomy under leftsided hepatic inflow occlusion only.Results Compared to hepatic inflow occlusion,regional hepatic in and out flow occlusion in laparoscopic left hemi-hepatectomy lead to a 0.46 hour longer operation time,20 ml less intraoperative blood loss and 0.62U less blood transfusion,reduced hepatic function impairment and 1.41 days shorter hospital stay.Conclusions Regional hepatic in-out flow occlusion in laparoscopic left hemi-hepatectomy can reduce intraoperative hemorrhage and lower the risk of CO2 embolism.