摘要
目的:证实基于Laennec膜指引多次肝脏手术后行肝周粘连分离的优势。方法:选取典型多次肝脏手术患者，经Laennec入路行肝周粘连分离，展示膈下，肝下及裸区的粘连分离。结果:多次肝脏术后患者肝周粘连经寻Laennec膜行粘连分离，层次清晰，出血少，副损伤小。结论:基于Laennec膜指引多次肝脏手术后肝周粘连分离安全可行，可作为多次肝脏手术后肝周粘连分离的手术入路。
Abstract
Objective:To proove the advantage of Laennec membrane-based guidance in the separation of perihepatic adhesions after multiple liver operation.Methods:The adhesions were isolated from the subphrenic, subhepatic and naked areas through Laennec approach in patients with multiple liver surgery.Results:The adhesions were separated by Laennec membrane after several liver operations. The layers of adhesions were clear, the bleeding was less and the side injury was less.Conclusions:Laennec membrane is a safe and feasible approach for the separation of perihepatic adhesions after multiple liver operations.
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