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

摘要： ［摘要］ 目的 探讨简易水媒电刀在不规则肝切除术中的应用价值。方法 回顾性分析 61 例应用水媒电刀和 48 例应用钳夹法施行肝切除术的患者临床资料。对比两组患者的术中指标、术后指标及术后并发症情况。结果 所有患者均手术成功，无围手术期死亡病例。对照组的手术时间、术中出血及手术输血分别为 164.58±41.20 min、584.38±559.94 mL 及 17 例，而研究组分别为159.43±43.93 min、178.52±153.46 mL 及3 例，两组患者的手术时间差异无统计学意义（P>0.05），而手术出血及输血例数差异均有统计学意义（P<0.05）；两组均无病例行肝门阻断。两组患者术后第 1 天及第 7 天的 ALT、ALB 及 TBIL 水平以及住院时间差异无统计学意义（P>0.05）。另外， 两组在术后胆漏、术后感染及肝功能衰竭等术后并发症发生率差异无统计学意义（P>0.05）。结论 简易水媒电刀应用在肝切除术中可减少术中出血及输血事件，是一种实用的肝切除方法尤其适于基层医院使用。

关键词: 水媒电刀, 钳夹法, 不规则肝切除