[腹腔镜下肝切除术治疗肝良性肿瘤]
[Laparoscopic liver resection for benign liver tumors].
作者信息
Cai Xiu-Jun, Huang Hai, Yu Hong, Liang Xiao, Huang Di-Yu, Zheng Xue-Yong, Shen Bo, Li Li-Bo, Peng Shu-You
机构信息
Laparoscopic Surgery Center, Department of General Surgery, Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou 310016, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2004 Oct 17;84(20):1698-700.
OBJECTIVE
To assess the feasibility, safety, and outcome of laparoscopic liver resection for benign liver tumors.
METHODS
Fourteen patients with benign liver tumors, including 11 cases of hepatic hemangioma, 1 case of hepatic focal nodular hyperplasia, 1 case of hepatic granulomatous inflammation, and 1 case of liver cyst with hyaline degeneration and calcification underwent laparoscopic liver resection by PMOD.
RESULTS
Hepatectomy was performed successfully under laparoscope in these 14 patients. There was no conversion to open approach, no postoperative mortality and no postoperative complication. The mean postoperative hospital stay was 6.4 days without recurrence.
CONCLUSION
Laparoscopic liver resection of benign liver tumors by PMOD is feasible and safe for patients with symptomatic and undetermined hepatic tumor, and is applicable in hepatic hemangioma complicated with cholecystitis.
目的
评估腹腔镜肝切除术治疗良性肝肿瘤的可行性、安全性及疗效。
方法
14例良性肝肿瘤患者，其中肝血管瘤11例、肝局灶性结节性增生1例、肝肉芽肿性炎症1例、肝囊肿伴透明变性及钙化1例，均采用PMOD行腹腔镜肝切除术。
结果
14例患者均在腹腔镜下成功完成肝切除术。无中转开腹，无术后死亡及术后并发症。术后平均住院时间6.4天，无复发。
结论
PMOD腹腔镜肝切除术治疗有症状且性质未明的肝肿瘤患者可行且安全，适用于合并胆囊炎的肝血管瘤。
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