摘要
目的 介绍完全腹腔镜下解剖性肝切除技术。方法 完全腹腔镜下解剖、阻断相应肝段、肝叶的入、出肝血流,按解剖学标志切除肝段、肝叶共35例,其中原发性肝癌16例、肝脏血管瘤11例、其它8例。结果 35例手术在完全腹腔镜下完成,左半肝切除( 、、段) 7例、左外叶( 、段)切除14例、肝方叶( 段)切除1例、右前叶下段( 段)切除2例、右后叶下段( 段)切除3例、右叶下段( 、段)切除4例、右后叶( 、段)切除3例、右前叶下段并右后叶( 、、段)切除1例。手术时间2 6 7.77±12 2 .6 9m in,出血量4 80 .0 0±5 75 .90 m l。术后住院5 .6 7±2 .0 6天。未发生胆漏、出血、感染等并发症。结论 在现有条件下,腹腔镜解剖性肝切除较好地解决了腹腔镜下肝段以上肝切除时出血、气栓等问题,可安全用于左半肝及肝右叶部分肝段的切除。
Objective To introduce the clinical study of laparoscopic anatomical liver resections.Methods The candidates for laparoscopic anatomical liver resections were 35 cases with liver lesions including 16 cases of primary liver cancer, 11 cases of liver hemangioma and 8 cases of others.Result Surgical procedures included segment Ⅱ、Ⅲ、Ⅳ in 7 cases,segment Ⅱ、Ⅲ in 14 cases,segment Ⅳ in 1 case,segment Ⅴ in 2 cases,segment Ⅵ in 3 cases,segment Ⅴ、Ⅵ in 4 cases,segment Ⅵ、Ⅶ in 3 cases and segment Ⅴ、Ⅵ、Ⅶ in 1 case.Operation time 267.77±122.69 min.The blood loss in operation 480.00±575.90 ml.The postoperative hospital stay 5.67±2.06 days.There was not complication.Conclusion Based on these preliminary results,we conclude that laparoscopic anatomical liver resection can be carried out safely and effectively by experienced laparoscopic skill in selected cases,which liver lesions located in left liver lobe and some segments of right liver lobe.
出处
《肝胆外科杂志》
2005年第2期96-98,共3页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
肝切除
肝脏解剖
Laparoscopy
Hepatectomy
Liver anatomy
