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目的观察靛胭脂染色法在肝肿瘤精准肝切除术中的应用效果。方法肝脏肿瘤患者44例,术中在B超引导下对拟切除肝段或肝叶的门脉分支注射靛胭脂染料对肿瘤所在肝段或肝叶进行染色,然后行精准肝切除术。结果 44例顺利完成手术,无围术期死亡病例,手术时间(164±37)min,失血量(425±280)ml,术中输血量(325±180)ml,术后住院时间(8.3±3.0)d,术后并发症发生率为6.8%(3/44)。术后病理证实肝细胞癌40例,肝血管瘤4例。结论靛胭脂染色法行精准肝切除术安全可行,肝段、肝叶显示清晰,达到手术创伤小,术中出血少,术后恢复快。
Objective To observe the effect of indigo-carmine staining in hepatectomy. Methods Forty-four patients with liver cancer underwent liver biopsy under the guidance of B-ultrasonography. Intra-hepatic segments or hepatic lobe were stained with indigo-carmine dye to the portal branches of the liver segment or liver lobe. Results A total of 44 patients were successfully performed the operation without perioperative death. The operative time (164 ± 37) min, blood loss (425 ± 280) ml, intraoperative blood transfusion (325 ± 180) ml, postoperative hospital stay 3.0) d. The incidence of postoperative complications was 6.8% (3/44). Postoperative pathology confirmed hepatocellular carcinoma in 40 cases, 4 cases of hepatic hemangioma. Conclusion It is feasible and safe to perform hepatectomy with indigo carmine staining. The segments of liver and liver are clearly displayed, which results in less operation trauma, less intraoperative bleeding and quick recovery after operation.