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[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.

PMID:15569428
Abstract

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.

摘要

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。

相似文献

1
[Laparoscopic liver resection for benign liver tumors].[腹腔镜下肝切除术治疗肝良性肿瘤]
Zhonghua Yi Xue Za Zhi. 2004 Oct 17;84(20):1698-700.
2
Laparoscopic liver resection of benign liver tumors.腹腔镜下良性肝肿瘤切除术。
Surg Endosc. 2003 Jan;17(1):23-30. doi: 10.1007/s00464-002-9047-8. Epub 2002 Oct 8.
3
[Laparoscope hepatectomy for hepatic hemangioma: a report of 18 cases].腹腔镜肝切除术治疗肝血管瘤:附18例报告
Zhonghua Wai Ke Za Zhi. 2007 Oct 1;45(19):1311-3.
4
[Primary experience of the anatomical laparoscopic left lateral hepatic lobectomy procedure for benign and malignant liver tumors].[解剖性腹腔镜左外叶肝切除术治疗肝脏良恶性肿瘤的初步经验]
Zhonghua Wai Ke Za Zhi. 2008 Nov 1;46(21):1621-3.
5
Prospective assessment of the safety and benefit of laparoscopic liver resections.腹腔镜肝切除术安全性和益处的前瞻性评估。
J Hepatobiliary Pancreat Surg. 2002;9(2):242-8. doi: 10.1007/s005340200026.
6
[Focal nodular hyperplasia and liver cell adenoma: operation or observation?].[局灶性结节性增生与肝细胞腺瘤:手术还是观察?]
Zentralbl Chir. 1998;123(2):145-53.
7
Results of laparoscopic liver resection: retrospective study of 68 patients.腹腔镜肝切除术的结果:68例患者的回顾性研究
J Hepatobiliary Pancreat Surg. 2009;16(1):64-8. doi: 10.1007/s00534-008-0009-y. Epub 2008 Dec 20.
8
[Laparoscopic liver surgery: analyze the experience on 36 cases].[腹腔镜肝脏手术:36例经验分析]
Chirurgia (Bucur). 2003 Jul-Aug;98(4):307-17.
9
[Operational line of laparoscopic liver resections].[腹腔镜肝切除术的手术流程]
Zhonghua Yi Xue Za Zhi. 2004 Feb 2;84(3):219-21.
10
[An inquiry into blood loss in laparoscopic liver resections].[腹腔镜肝切除术中失血情况的调查]
Zhonghua Wai Ke Za Zhi. 2003 Aug;41(8):591-3.

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1
National trends in the use of surgery for benign hepatic tumors in the United States.美国良性肝脏肿瘤手术治疗的全国趋势。
Surgery. 2015 Jun;157(6):1055-64. doi: 10.1016/j.surg.2015.01.015. Epub 2015 Mar 11.