Application Of Hepatic Artery Occlusion In External Capsule Excision For Hepatic Cystic Echinococcosis

Objective:To explore the effect and clinical significance of hepatic artery blood flow occlusion in external capsule excision for hepatic cystic echinococcosis.Methods:This subject retrospectively analyzed the data of 80 patients who were hospitalized in our hospital from January 2016 to September 2019.The surgical method was external capsule excision for hepatic cystic echinococcosis.Among them,42 patients in group A received intrahepatic arterial blood flow blockage based on the location of the lesion;38 patients in group B underwent intermittent first hilar blood flow blockage;according to the general information of the two groups,preoperative,Intraoperative and postoperative indicators and the incidence of complications were investigated for the effects of two methods of blood flow block.Results:None of the study subjects died from surgery,and the patients recovered and were discharged.There were no significant differences in gender,Child-Pugh classification,age,hospitalization days,etc.between the two groups(P>0.05);there was no difference in operation time,intraoperative blood loss,abdominal drainage,indwelling abdominal drainage time Statistical significance(P>0.05);Group A has shorter postoperative defecation and defecation time than Group B,the difference is statistically significant(P<0.05;Group A compared with Group B,protect liver function injury during operation and postoperatively There is significant statistical significance in the recovery of liver function(P<0.05).Conclusion:Hepatic artery occlusion method can effectively reduce intraoperative liver injury,and it performs better in early postoperative liver function recovery.The postoperative gastrointestinal function recovery is longer than that in the first hepatic portal blood flow block group,but Whether it can effectively reduce the incidence of complications is still inconclusive.