摘要
目的探讨腹腔镜下规则性肝切除与肝肿瘤剥除术手术方式的选择和疗效的差别。方法回顾分析笔者所在医院2009年1月-2014年1月期间完成腹腔镜肝血管瘤切除术43例患者的临床资料。结果手术方式包括腹腔镜下规则性肝切除术25例(左半肝切除4例、左外叶切除11例、肝段切除5例、右半肝切除3例、尾状叶切除术2例)和肝血管瘤剥除术18例。分析得出肝剥除术切肝时间比规则性肝切除手术时间及切肝时间短,术中出血量少,术后肝功恢复时间短,肿瘤组织残余机会少。结论腹腔镜下肝血管瘤治疗中,根据肿瘤的大小、与大血管的关系、位置不同采用恰当的手术方式,可以安全、有效、微创地治疗比较复杂的肝血管瘤,从而达到最佳疗效。
Objective To investigate the selection of two surgical procedures for resection of hepatic hemangioma laparoscopically-regular partial hepatectomy and enucleation,and to compare the differences of clinical curative effect.Methods The clinical data of 43 patients with hepatic hemangioma,from Jan. 2009 to Jan.2014 in Shanxi Provincial People′s Hospital,were analyzed retrospectively.All of the 43 patients underwent laparoscopic resection.Results Among the 43 cases,regular partial hepatectomy and enucleation were operated in 25 cases （58.1%）and 18 cases （41.9%）,respectively.The regular partial hepatectomy group including 4 cases of left liver resection,11 cases of hepatic left lateral lobectomy, 5 cases of hepatic segmentectomy,3 cases of right liver resection and 2 cases of hepatic caudate lobectomy. Through analysis,enucleation has the following advantages in comparison with regular partial hepatectomy：shorter operative time, shorter hepatic resection operating time, less intra-operative bleeding, faster postoperative recovery,less residual tumors rate.Conclusion According to the size of tumor,the relationship between the tumor and surrounding great vessels and the location of tumor,using proper surgical option,which is safe,effective and mini-invasive in the treatment of complicated hepatic hemangioma,is the key to achieve the optimal curative effect.
出处
《中华腔镜外科杂志（电子版）》
2014年第5期6-8,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
回国留学人员科研支柱项目
No.2012-重点5
