Objective To evaluate the application value of"the third gate of the liver"approach in anatomic right hepatec-tomy.Methods A total of 60 patients who underwent anatomic right hepatectomy in JiuJiang NO.1 People's Hospital from June 2022 to March 2024 were selected as the research objects,and they were divided into control group(n=30)and experi-mental group(n=30)according to random number table method.Both groups were treated with anatomic right hepatectomy under tracheal intubation and general anesthesia.The experimental group was treated with"the third gate of the liver"ap-proach and the control group was treated with the conventional approach.The perioperative indexes,liver and kidney func-tion indexes(alanine transaminase[ALT],albumin[ALB],total bilirubin[TBil],blood urea nitrogen[BUN]),blood lactic acid values and complications were compared between the two groups.Results The intraoperative blood loss and hospitalization cost of experimental group were lower than those of control group,and the hospitalization time and hepatectomy time of ex-perimental group were shorter than those of control group,with statistical significances(P＜0.05).There was no significant difference in the positive rate of postoperative pathological margin between the two groups(P＞0.05).After operation,ALT,TBil,BUN and blood lactic acid in two groups were higher than those before operation,ALB detection values were lower than those before operation,while ALT,TBil,BUN and blood lactic acid detection values in experimental group were lower than those of control group,ALB detection value was higher than that of control group,the differences were statistically sig-nificant(P＜0.05).There were no significant differences in the incidences of postoperative bleeding and bile leakage be-tween the two groups(P＞0.05).The incidence of intraoperative hepatic vein injury in experimental group was lower than that in control group,and the difference was statistically significant(P＜0.05).Conclusion The use of"the third gate of the liver"approach in anatomic right hepatectomy can shorten the time of liver resection,reduce the surgical trauma,the inci-dence of hepatic vein injury and the damage to liver and kidney function,promote the recovery of patients'disease,and reduce the economic burden.
关键词
解剖性右肝切除术/解剖/肝肾功能/"肝脏第三扇门"/围手术期
Key words
Anatomic right hepatectomy/Anatomy/Liver and kidney function/"The third gate of the liver"/Periop-erative period
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