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| Comparison of Application of Two Different Hepatic Blood Flow Occlusion Techniques under 3D Laparoscopy in Laparoscopic Hepatectomy |
| LU Chao, CHEN Bo, XING Zhixiang, et al |
| Jingzhou Central Hospital, Hubei Jingzhou 434020, China |
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Abstract Objective: To compare and analyze the postoperative recovery status of 3D laparoscopic regional hepatic blood flow occlusion and intermittent total hepatic blood flow occlusion in patients with PLC treated by LH.Methods: A total of 109 PLC patients (from March 2023 to March 2024) were selected for the study, all of whom received LH surgical treatment. 54 patients using regional hepatic blood flow obstruction were classified as the observation group, and another 55 patients who adopted intermittent total hepatic blood flow obstruction were set as the control group. The perioperative indexes were compared and analyzed, and the changes of liver function indexes and gastrointestinal function indexes [serum gastrin (GAS), plasma motilin (MTL)] before surgery and at 3 days after the surgery were statistically analyzed.Results: Operation and treatment time, bleeding status during surgery, hepatic blood flow occlusion time and overall hospital stay in the observation group were shorter or lower (P<0.05). After 3 months follow-up, the incidence of complications in the observation group (3.70%) was lower than that in the control group (18.18%) (P<0.05). The difference of serum ALT, AST, TBIL, DBIL levels between pre-operation and post-operation in observation group were less than that in control group (P<0.05); the difference of serum GAS content and plasma MTL level between pre-operation and post-operation in observation group were less than in control group (P<0.05).Conclusion: Compared with 3D laparoscopic regional hepatic blood flow occlusion in the treatment of PLC patients, intermittent total hepatic blood flow occlusion has shorter surgical time, less intraoperative blood loss and no blood flow occlusion time, and the latter one can better shorten the hospitalization time, which may be related to the small influence of the surgery on postoperative liver function and gastrointestinal function.
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2024, Vol. 30 
