Abstract：【Objective】To explore the application value of hepatic pedicle extrathecal dissection guided by venous ligament in laparoscopic left hemihepatectomy. 【Methods】A total of 70 patients requiring liver resection in our hospital from January 2018 to January 2020 were divided into the control group and the observation group according to the surgical plan, with 35 cases in each group. The control group underwent conventional intrathecal anatomy of the liver pedicle, and the observation group underwent extrathecal anatomy of the liver pedicle under the guidance of venous ligament. The clinical efficacy and clinical indicators of the two groups were compared and the changes of liver function before and after treatment were analyzed. and Incidence of complications in the two groups were compared as well. 【Results】The total effective rate of the observation group was 94.30%, which was not statistically different from the 88.60% of the control group (P>0.05). There was no statistically significant difference between the two groups of postoperative drainage tube removal, gastrointestinal function recovery and hospitalization time (P>0.05).The operation time, left liver pedicle dissection time and intraoperative blood loss in the observation group were lower than those in the control group (P<0.05).After treatment, the levels of ALT, AST and TBIL in the two groups were higher than before treatment (P<0.05), while the level of ALB was lower than before treatment (P<0.05). ALT and AST levels in the observation group after treatment were lower than those in the control group (P<0.05). There was no significant difference in the levels of ALB and TBIL compared with the control group (P>0.05). The incidence of complications in the observation group was 8.55%, which was not statistically different from 11.40% in the control group (P>0.05). 【Conclusion】In the laparoscopic-assisted left hemihepatectomy, the transvenous ligament-guided hepatic pedicle extrathecal anatomy has a significant effect, which reduces intraoperative injuries. It is worthy of promotion.
高庆东, 王小林, 白卫兵. 静脉韧带引导下肝蒂鞘外解剖术在腹腔镜左半肝切除术中的应用价值[J]. 医学临床研究, 2022, 39(1): 37-40.
GAO Qing-dong, WANG Xiao-lin, BAI Wei-bing. Application of Extrathecal Dissection of Liver Pedicle Guided by Venous Ligament in Laparoscopic Left Hemihepatectomy. JOURNAL OF CLINICAL RESEARCH, 2022, 39(1): 37-40.
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2022, Vol. 39 
