摘要
目的探讨完全腹腔镜规则性左肝外叶切除治疗肝内胆管结石的可行性和手术技巧。方法回顾性对比同一术者、同时期内完全腹腔镜(32例)和开腹(36例)左肝外叶切除术的手术时间、术中出血量、住院时间、术后切口感染率等指标。总结手术方法和技巧。结果所有完全腹腔镜规则性左肝外叶切除术均获成功实施,手术时间与开腹手术相当,术中出血、住院时间、术后切口感染率少于开腹手术。结论强调规则性切除、掌握正确手术技巧,能使腹腔镜规则性左肝外叶切除术治疗左侧肝内胆管结石安全可行;完全腹腔镜规则性左肝外叶切除术与开腹手术相比有一定优势。
【Objective】To discuss the feasibility and the surgical techniques of totally laparoscopic regular hepatic left lateral lobectomy in the treatment of intra-and extrahepatic bile duct stones.【Methods】Data of same surgeon at the same period for 32 patients who underwent totally laparoscopic regular hepatic left lateral lobectomy and 36 patients who underwent open hepatic left lateral lobectomy were collected and analyzed retrospectively. The operation time,intraoperative blood loss,hospitalization days and postoperative rate of infection were compared between two groups. Furthermore,the surgical methods and techniques were summarized.【Results】The operations were all performed successfully in laparoscopic surgery group. The operation time was equivalent in the two groups,but the intraoperative blood loss,hospitalization days and postoperative rate of infection in laparoscopic surgery group were signicantly less or shorter than those in open surgery group （laparotomy group）. 【Conclusions】Emphasized regular resection and mastered correct surgical techniques,totally laparoscopic regular hepatic left lateral lobectomy can be carried out safely and effectively in the treatment of intra-and extrahepatic bile duct stones. It showed more great advantages compared with the open hepatectomy.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第4期362-366,共5页
China Journal of Endoscopy
