曲式单一腹主动脉阻断无血切肝术8例报告

Chinese Journal of Practical Surgery ›› 2010, Vol. 30 ›› Issue (06) : 490-493.

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Chinese Journal of Practical Surgery ›› 2010, Vol. 30 ›› Issue (06) : 490-493.
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Abstract

Qu’s single abdominal aorta clamping for bloodless hepatectomy:a report of 8 cases        RAO Rong-sheng*, WEI Xiao-yong, CAI Jin-gen, et al.  *Department of Hepatic Surgery, Jiangxi Provincial Tumor Hospital, Nanchang 330029, China
Corresponding author: RAO Rong-sheng, E-mail:jxrrs@hotmail.com
Abstract    Objective    To report the clinical applied experience and to investigate the regulation of mean arterial pressure changes for Qu’s bloodless hepatectomy. Methods    Using single abdominal aortic cross-clamping for hepatectomy (QU’s bloodless hepatectomy), the 8 cases of liver tumors in different position were removed between March 2009 and June 2009 at Jiangxi Provincial Tumor Hospital. The blood pressue changes at diverse time points (such as the base, the pre- and post-clamping, the pre-and post-declamping) were monitored. The fluctuations of blood pressure were adjusted and controlled by giving administration during the operation. Results    The fluctuations of blood pressure caused by Qu’s bloodless hepatectomy could tolerate safely in all cases. The average blood loss during hepatic resection was 96 mL (40~200 mL). The average time of abdominal aortic cross-clamping was 12 min (7~15 min). There was no transfusion and any complications during and after operations in all cases. Conclusion    The changes of mean arterial pressure caused by Qu’s bloodless hepatectomy can been adjusted and controlled by giving administration during the operation. Qu’s bloodless hepatectomy can achieve the very satisfactory effect of bloodless hepatectomy in clinic, which is facilitating application and promation.

Key words

Qu&rsquo / s bloodless hepatectomy; single abdominal aorta clamping; hepatectomy

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