关键词: 水媒电刀, 钳夹法, 不规则肝切除

Abstract: ［Abstract］ Objective To compare the clinical effects of saline-linked diathermy in irregular liver resection. Methods Saline?linked diathermy（experimental group）was used during hepatectomy for 61 patients，and clamp crushing method（control group）was used in 48 patients. The clinical data of two groups were analyzed retrospectively. The differences in intraoperative，postoperative and postoperative complications were compared between the two groups. Results All patients were successfully operated without perioperative deaths. The operative time，intraoperative blood loss，and surgical transfusion in the control group were 164.58±41.20 min，584.38±559.94 ml，and 17 cases，respectively，while in the experimental group were 159.43±43.93 min，178.52±153.46 ml（P<0.05），and 3 cases（P<0.05）. The time difference was not statistically significant （P>0.05）， but there were statistically significant differences in the number of surgical hemorrhages and blood transfusions（P<0.05）. There was no case of hilar occlusion in both groups. There was no significant difference in the levels of ALT，ALB and TBIL and hospitalization time between the two groups on the first day and the seventh day（P>0.05）. There was no significant difference in the incidence of postoperative complications such as bile leakage， postoperative infection，and liver failure between the two groups（P>0.05）. Conclusion Saline?linked diathermy is a practical liver resection method to reduce intraoperative bleeding and transfusion events during hepatectomy.

Key words: clamp crushing method, irregular liver resection, Saline?linked diathermy