氩气凝血器在腹腔镜肝脏切除中高气腹压的处理
Application of argon beam coagulator in high abdominal pressure management during laparoscopic hepatectomy
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摘要: 目的: 探讨氩气凝血器在腹腔镜肝脏切除应用中腹压过高的解决方法。方法: 总结我院2008年8-12月以来行腹腔镜下肝脏切除手术中应用氩气凝血器处理肝脏断面的病例7例,分别在氩气凝血器处理肝脏断面时关闭和打开Trocar排气阀,并测试2min后腹压值,进行统计学分析。结果: LH术中在应用氩气凝血器同时打开Trocar排气阀,使用前腹压值(11.571±0.787)mmHg(1mmHg=0.133kPa),与使用后腹压值(12.143±0.900)mmHg比较无统计学差异;而当关闭Trocar排气阀,则可以发现腹压值明显升高,使用前腹压值(12.429±0.976)mmHg与使用后腹压值(21.571±1.718)mmHg比较有明显统计学差异(P<0.05)。结论: 在使用氩气刀的同时打开Trocar排气阀,可有效解决腹压过高的问题。Abstract: Objective: To study the application of argon beam coagulator（ABC） in high abdominal pressure management during laparoscopic hepatectomy（LH）. Methods: A retrospective analysis of the clinical data obtained from 7 patients undergoing LH in August 2008-December 2008.ABC was used in all the patients during LH.The trocar air release valve was closed two minutes after ABC was used,and the abdominal pressure was measured. Results: The abdominal pressure was（11.571±0.787） mmHg（1mmHg = 0.133kPa） and（12.143±0.900） mmHg,respectively,in the two groups before and after ABC was used（P＜0.05）. Conclusion: ABC can reduce the high abdominal pressure during LH.when the trocar air release valve is opened.
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