Application Of Different Blood Flow Occlusion Methods In Hepatic Resection Of Ⅴ And Ⅵ Segments

Objective：To compare the different methods of blood flow occlusion inhepatic resection of V and VI segmentsMethod: Retrospective analysis of276cases of patients with partialhepatectomy in our hospital between1.2008to12.2012.Select the37patients with V and VI segment hepatic resection and divided accordingto the method of its blood flow occlusion to Pringle group and U-suturegroup and not occlusion group.The three groups of patients were recordedoperative time and blood loss and the blood albumin, total bilirubin, ASTand ALT values in peripheral when the first three days and seven daysafter surgery.Result: Surgery time is longer in the Pringle group than the other twogroups.The amount of bleeding lesser than the other two groups.The ALTand AST three days after surgery higher than the other two groups, ALBlower than the group not use blood occlusion.Conclusion:1、The Pringle method and U type suture method has advantagesand disadvantages, partial hepatectomy should be based on the location ofthe lesion, tumor size, type of surgery, the degree of cirrhosis of the liver, the surgeon habits and other factors taken into account, choose the mostreasonable blood flow occlusion techniques.2、The patient of liver V, VI segment resection recommended in theapplication of the first hepatic portal blood flow occlusion techniques insurgery.