目的:探讨微波消融治疗在联合肝脏分割和门静脉结扎的分阶段肝切除术(associating liver partition and portal vein ligation for staged hepatectomy,ALPPS)中的临床应用价值。方法:通过对我中心ALPPS病例治疗中相关资料的分析,分析微波消融治疗断面处理后的实际效果。结果:ALPPS第一阶段手术肝脏离断面利用微波消融治疗进行创面预处理,创面止血效果确切,第二阶段手术肝脏离断创面无感染,无明显粘连。结论:微波消融治疗处理断面能够有效减少ALPPS第二阶段手术创面的粘连及感染风险,具有重要的临床应用价值。
Objective:To explore the clinical application value of microwave ablation in ALPPS.Methods:To analyze the information of treatment process of ALPPS case,and the treatment effect of microwave ablation after processing.Results:By pretreating the fracture surface by microwave ablation in the first stage of ALPPS,hemostatic effect was obvious,and reduced adhesion and infection in the second stage of the operation.Conclusion:Pretreating the fracture surface by microwave ablation can reduce adhesion and infection risk,which has the important value in clinical application.