To investigate the application value of overall intervention in hepatic left lateral lobectomy.

Clinical data of 49 patients undergoing hepatic left lateral lobectomy in Lanzhou University Second Hospital from October 2010 and October 2013 were retrospectively analyzed. The patients were divided into the overall intervention group and control group. Twenty-nine cases were enrolled in the overall intervention group, including 16 males and 13 females, aged from 44 to 71 years with a median age of 56 years. Twenty cases were enrolled in the control group, including 12 males and 8 females, aged from 48 to 69 years with a median age of 54 years. The informed consents of all patients were obtained and the local ethical committee approval had been received. All patients underwent hepatic left lateral lobectomy without first hepatic portal control, which was performed by the surgeons from the same group. In the overall intervention group, regular nurses responsible for hepatic operating set, operating room and nurses in charge of large-sized equipments were assigned. Overall intervention was performed before the abdomen opening, duration and closing of operation. In the control group, surgeons and nurses were assigned at random. Operative duration and intraoperative blood loss of two groups were compared using t test.

All patients completed the operation successfully. The average operative duration and intraoperative blood loss in the overall intervention group were (87±11) min and (203±50) ml, which were significantly lower than (153±20) min and (385±61) ml in the control group (t=-5.647, -5.436; P<0.05). No death case, cut surface hemorrhage or liver failure was observed in both groups postoperatively.

Overall intervention helps to shorten the operative duration and reduce the blood loss in hepatic left lateral lobectomy.