摘要
目的探讨腹腔镜肝切除治疗肝血管瘤的可行性。方法 2002年1月至2006年10月共治疗18例肝血管瘤患者,应用腹腔镜下肝门阻断器阻断第一肝门的血流后,使用电刀、超声刀等方法断肝,肝断面采用腹腔镜下肝针缝合并喷洒生物蛋白胶等方法处理,行腹腔镜肝段或局部切除10例、行左肝外叶切除术5例、行规则性左半肝切除术2例、行不规则性左半肝切除术1例;其中合并胆囊切除2例、合并阑尾切除1例。结果 18例患者手术均获得成功,手术时间(185.4±55.7)min;术中出血(416.2±128.8)ml;术后恢复顺利,无严重并发症,患者住院时间(6.2±1.0)d。结论腹腔镜肝切除治疗肝血管瘤安全、可行。
Objective To evaluate the feasibility and practicality of laparoscopic hepatectomy for hepatic hemangioma, Methods Candidate for laparoscopic liver resection were 18 cases of hepatic hemangioma from January 2002 to October 2006. The portal bloods stream was blocked by the laparoscope portal blood blocker. The Electric-cautery and ultracision were used for liver transection. Operative procedures included anatomical left hepatectomy in 2 cases, non-anatomical left hepatectomy 1 case, left lobectomy 5 cases,local liver resection 10 cases. Two cases of hepatic hemangioma associateted with gallbladder stone were performed cholecystectomy synchronously, 1 case associated with chronic appendicitis were performed appendectomy synchronously. Results Laparoscopic left liver rescetion was successfully performed in all 18 cases. The operative duration was （185.4±55.7 ） min. The quantity of blood lost during the operation was （416. 2 ± 128.8 ） ml. The postoperative recovery was smooth and good. No critical complications occurred. The duration for hospitalization was （ 6. 2 ± 1.0 ） d. Conclusion Laparoscope hepatectomy for hepatic hemangioma is safe and feasible.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第19期1311-1313,共3页
Chinese Journal of Surgery
关键词
腹腔镜
肝切除术
血管瘤
Laparoscopes
Hepatectomy
Hemangioma
