临床外科杂志 ›› 2024, Vol. 32 ›› Issue (12): 1340-1342.doi: 10.3969/j.issn.1005-6483.20241962

• 综述与讲座 • 上一篇    下一篇

肝切除术中应用Pringle法血流阻断对肝细胞癌病人预后的影响

谢镇徽 黄志勇   

  1. 430030 武汉,华中科技大学同济医学院附属同济医院肝脏外科中心
  • 收稿日期:2024-12-15 出版日期:2025-01-14 发布日期:2025-01-14
  • 通讯作者: 黄志勇,Email:zyhuang126@126.com

Effect of Pringle maneuver on prognosis of patients with hepatocellular carcinoma during hepatectomy

XIE Zhenhui,HUANG Zhiyong   

  1. Hepatic Surgery Center,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
  • Received:2024-12-15 Online:2024-12-20 Published:2025-01-14

Abstract: Hepatocellular carcinoma is the fifth most common malignant tumor in our country,and hepatectomy is one of the main treatment methods for hepatocellular carcinoma.Pringle maneuver (PM) is widely used in hepatectomy to reduce bleeding,but the maneuver causes ischemia reperfusion injury.Prolonged use of PM may affect liver function and increase postoperative complications,especially in patients with cirrhosis.PM may also accelerate the growth of micrometastatic tumor cells in the liver and promote tumor metastasis.However,the safe duration and methods of PM usage,as well as whether it shortens the disease-free survival or overall survival of patients undergoing liver resection for hepatocellular carcinoma,remain controversial.This article summarizes the effect of Pringle maneuver on the prognosis of patients with hepatocellular carcinoma during hepatectomy.

Key words: hepatocellular carcinoma; hepatectomy; Pringle maneuver; prognosis

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