摘要
目的:探讨手助腹腔镜左肝巨大肝癌切除的可行性和安全性。方法:病变位于左肝的巨大肝癌6例中肝细胞癌4例,肝内胆管细胞癌1例,肝转移性鳞癌1例。采用手助腹腔镜行左肝规则性切除术。结果:6例手助腹腔镜肝切除术均获成功,肝左外叶和左半肝切除各3例,平均手术时间109.2m in,平均出血量83.3m l,术后无严重并发症发生,术后平均住院8.3d。结论:只要病例选择得当,手助腹腔镜切除左肝巨大肝癌是安全可行的。
Objective：To study the feasibility and safety of hand-assisted laparoscopic hepatectomy for huge left liver cancer. Methods：Six cases with huge left liver cancer underwent hand-assisted laparoscopic hepatectomy including 4 cases of hepatocellular carcinoma, 1 case of cholangiocellular carcinoma, 1 case of hepatic metastatic squamous carcinoma. Results：The operation were completed safely in 6 cases including 3 left hemihepatectomies and 3 left lateral segmentectomies. Mean surgical time was 109.2min. Mean blood loss was 83.3ml. No severe postoperative complications occurred. The mean postoperative hospitalization was 8.3 days. Conclusions：Hand-assisted laparoscopic hepatectomy for huge left liver cancer resection is feasible and safe for selected patients.
出处
《腹腔镜外科杂志》
2007年第2期120-121,共2页
Journal of Laparoscopic Surgery
