摘要
目的总结腹腔镜肝切除术的技术要点和效果。方法回顾分析我院2011年5月至11月3例腹腔镜肝切除术患者的临床资料。结果3例均在完全腹腔镜下完成肝切除术,阻断入肝血流,诊断为规则性左半肝切除1例;诊断为肝包虫外包囊剥离切除1例;切除左外叶肝血管瘤1例。平均手术时间4 h,平均出血量400 ml(100~800ml),术后恢复顺利,无并发症发生。平均住院时间为8.7 d。随访2~6个月,无症状再发。结论腹腔镜肝切除术是值得选择的微创方式,选择性半肝血流阻断技术的应用和肝断面的妥善处理是确保手术成功和减少手术并发症的关键。
Objeetive To evaluate the techniques and feasibility in laparoscopic liverresections.Methods Retrospectively analysis on 3 patients by total laparoscopic liver resection fromJune to November in 201lin our center.1Icase of hepatic echinococcosis with local liver resection,2cases of anatomical left liver resection with left intrahepatic stone and hemangioma.Results Therewere no morbidity and mortality in 3 cases.The average operation time was 240 min and the bloodloss was 400(100-800)ml.Conclusions Laparoscopic hepatectomy is safe and feasible for selectedpatients.Appropriate choices of surgical indication and careful surgical performance are essential tothe success of surgery.In order to effectively control the bleeding during the partial hepatectomy orleft hemihepatectomy,it is crucial to fully dissect the sub-grade hepatic portal vessels.
作者
何晓军
肖梅
张辉
张洪义
HE Xiao-jun;XIAO Mei;ZHANG Hui;ZHANG Hong-yi(Department of Hepatobiliary Surgery,AirForce General Hospital,Beijing 100142,China)
出处
《空军医学杂志》
2012年第1期13-14,20,共3页
Medical Journal of Air Force
关键词
腹腔镜
肝切除术
Laparoscopes
Hepatectomy
