关键词: 选择性入肝血流阻断, 腹腔镜技术, 肝切除, Glisson鞘, 出血控制

Abstract: Objective To investigate the clinical value of selective hepatic flow occlusion technology for laparoscopic liver resection. Methods From August 2019 to September 2020, laparoscopic hepatectomy was performed in 70 patients with liver diseases. Different selective hepatic flow occlusion techniques were used during the operation according to tumor size, location and other characteristics of the lesions. Results All the 70 patients successfully were completed laparoscopic hepatectomy by different selective entryhepatic blood flow occlusion techniques, without conversion to open surgery. The operation time was 75-320 min, with an average of （226.0±64.1） min, and the intraoperative blood loss was （20-800） ml, with an average of （203.9±193.2） ml. The postoperative hospitalization time was 6-18 d. The average postoperative biliary fistula occurred in 3 cases and pleural effusion in 1 case （11.8±2.9）, with a complication rate of 5.7%. There were no complications such as massive hemorrhage or liver failure, and no perioperative death. Conclusion Laparoscopic liver resection with elective hepatic flow occlusion technology is safe and feasible in clinical application. After comprehensive consideration, the optimal hepatic flow occlusion techniques can effectively reduce intraoperative bleeding, liver ischemia reperfusion injury, and intraoperative and postoperative complications.

Key words: selective hepatic flow occlusion, hepatectomy, liver resection, glisson pedicle, control bleeding