摘要
目的 探讨腹腔镜肝切除手术的可行性及相关技术问题。方法 回顾性分析2011年2月—2014年3月蚌埠医学院第一附属医院肝胆外科行腹腔镜肝切除术18例患者的临床资料，其中肝细胞肝癌7例，肝海绵状血管瘤3例，肝炎性假瘤2例，肝内胆管结石1例，转移性腺癌、鳞癌各1例，差分化腺癌1例，肝局灶性结节性增生2例。肝脏病灶占位直径1．5～10．0cm。结果 15例成功完成完全腹腔镜下肝切除术，2例行手助腹腔镜探查游离后开腹切除，1例腹腔镜游离肝脏后小切口进腹肝切除。其中右肝段或局部切除术10例，左肝外叶切除术8例。手术时间115—400min，术中出血量（527．5±325．4）ml。术后未发生胆漏和出血等并发症，术后平均住院（10±3．7）d。结论 腹腔镜肝切除具有创伤小、恢复快的优点，只要合理选择手术适应证，腹腔镜肝切除术是安全、可行的。
Objective To explore the feasibility and techniques in laparoseopie hepatectomy. Methods Clinical data of 18 cases were reviewed and analyzed from Feb. 2011 to Mar. 2014 in the Hepatobiliary Surgery of the First Affiliated hospital of Bengbu Medical College, including 7 cases of primary liver cancer, 3 cases of hepatic cavernous hemangioma, 2 cases of inflammatory pseudotumor of liver, 1 case of intrahepatolithiasis, 1 case of metastatic squamous carcinoma, 1 case of metastatic adenocarcinoma, 1 case of poorly differentiated adenocarcinoma and 2 cases of focal nodudar hyperplasia. The diameter of hepatic space-occupying lesions was 1.5-10.0 cm. Results Total laparoscopic hepatectomy liver resection was completed successfully in 15 patients, open hepatectomy in 2 patients and mini-incision hepatectomy in 1 patient after hand-assisted laparoscopic exploration and dissociation. A total of 10 segmehtectomies and local resection in right hepatic lesions, 8 left lateral lobe hepatectomy. The operation time was 115- 400 mins, and the blood loss was（527.5 ± 325.4） ml. All 18 patients had no bile leakage, bleeding or other complications and the postoperative hospital stay was （ 10 ± 3.7） days. Conclusions Laparoscopic hepatectomy has the advantages of less surgical trauma and rapid postoperative recovery, it is safe and feasible if optimal patients were chosen.
出处
《中华解剖与临床杂志》
2014年第6期497-499,共3页
Chinese Journal of Anatomy and Clinics
关键词
肝切除术
腹腔镜
肝肿瘤
Hepatectomy
Laparoscopy
Liver neoplasms
