Liu Rong, Huang Zhi-qiang, Zhou Ning-xin, Huang Xiao-qiang, Wang Yue-hua, Jiang Kai, Xiang Xin
Department of Hepatobiliary Surgery, General Hospital of the People's Liberation Army, Beijing 100853, China.
Zhonghua Yi Xue Za Zhi. 2004 Feb 2;84(3):219-21.
To evaluate the feasibility and indications of laparoscopic liver resections.
Twenty-seven patients with liver lesions, 17 men and 10 women, aged 31 - 67, including 14 cases of primary liver cancer, 6 cases of liver hemangioma, 2 cases of liver abscess, 1 case of hilar carcinoma, 1 case of hepatic adenoma, 1 case of hepatic focal nodular hyperplasia, 1 case of liver inflammatory granuloma, and 1 case of infected liver cyst, underwent laparoscopic liver resection, partial liver resection in 17 cases and anatomical left liver resections in 10 cases, consecutively from July 2002 to April 2003. The clinical data were analyzed.
All of the 27 operations were performed smoothly with an average operation time of 184 min and the average blood loss during operation of 441 ml. The average postoperative hospital stay was 5 days. No complication occurred.
A promising minimally invasive technique, laparoscopic liver resection can be carried out safely and effectively by experienced surgeons as one of the first choices for the loci limited to left liver and part of the loci in right liver.
评估腹腔镜肝切除术的可行性及适应证。
2002年7月至2003年4月，连续对27例肝病变患者实施腹腔镜肝切除术，其中男性17例，女性10例，年龄31 - 67岁。包括原发性肝癌14例、肝血管瘤6例、肝脓肿2例、肝门部癌1例、肝腺瘤1例、肝局灶性结节性增生1例、肝脏炎性肉芽肿1例、感染性肝囊肿1例。17例行肝部分切除术，10例行解剖性左肝切除术，并对临床资料进行分析。
27例手术均顺利完成，平均手术时间184分钟，术中平均出血量441毫升。术后平均住院时间5天。无并发症发生。
腹腔镜肝切除术是一种很有前景的微创技术，经验丰富的外科医生可安全有效地实施，对于局限于左肝及部分右肝的病灶可作为首选方法之一。
