Abstract:
Objective To investigate the clinical effect of anterior approach laparoscopic right hemihepatectomy(LRH)with two gun technique.
Methods The clinical data of 62 patients who underwent anterior LRH approach from January 2019 to June 2021 were retrospectively analyzed. According to the different surgical methods,they were divided into the traditional group(n=34,using the traditional method for anterior LRH)and the two-shot group(n=28,using the vascular cutting and closure device for two-shot LRH). SPSS 22.0 software was used to analyze the data. Perioperative indicators and other measurement data were represented by(
±
s). Repeated measurement data were analyzed by repeated measurement analysis of variance,and the rest were analyzed by independent sample
t test. Postoperative complications and other counting data were analyzed by
χ2 test.
P<0.05 was considered statistically significant.
Results The operation time,liver rupture time,intraoperative blood loss,intraoperative blood transfusion and drainage tube indwelling time in the two-gun group were significantly better than those in the traditional group(P<0.05). There was no interaction between time and method on the levels of ALB,TBil,AST and ALT(P>0.05),while the main effect of time and method on the levels of ALB,TBil,AST and ALT was significant(P<0.05). There was no significant difference in postoperative complications between the two groups(P>0.05).
Conclusion The use of vascular cutting and closing device two-gun method in the anterior approach of LRH not only shortens the operation time,reduces the intraoperative injury,but also facilitates the recovery of postoperative liver function,and does not increase the risk of postoperative complications.
Key words:
Hepatectomy,
Laparoscopes,
Anterior approach,
Vascular cutting closure device,
Two-gun method
Shujun Lin, Bo Zhong, Fuyu Wang, Yongbin Zheng, Sicong Chen, Shidong Huang, Xinsheng Cheng, Dingding Miao, Jinting Gao. Clinical effect of anterior approach laparoscopic right hemihepatectomy with two gun vascularizer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(06): 631-634.