Jiang Wen-shu, Lu Bang-yu, Cai Xiao-yong, Lu Wen-qi, Liu Zu-jun, Huang Fei, Jin Xiao-jian
Department of Minimally Invasive Surgery, the First Affiliated Hospital, Guangxi Medical University, Nanning 530027, China.
Zhonghua Wai Ke Za Zhi. 2007 Oct 1;45(19):1311-3.
To evaluate the feasibility and practicality of laparoscopic hepatectomy for hepatic hemangioma.
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 associated with gallbladder stone were performed cholecystectomy synchronously, 1 case associated with chronic appendicitis were performed appendectomy synchronously.
Laparoscopic left liver resection 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.
Laparoscope hepatectomy for hepatic hemangioma is safe and feasible.
评估腹腔镜肝切除术治疗肝血管瘤的可行性和实用性。
2002年1月至2006年10月，18例肝血管瘤患者作为腹腔镜肝切除的候选对象。通过腹腔镜门静脉阻断器阻断门静脉血流。使用电刀和超声刀进行肝实质离断。手术方式包括解剖性左肝切除术2例、非解剖性左肝切除术1例、左半肝切除术5例、局部肝切除术10例。2例合并胆囊结石的肝血管瘤患者同期行胆囊切除术，1例合并慢性阑尾炎的患者同期行阑尾切除术。
18例患者均成功实施腹腔镜左肝切除术。手术时间为（185.4±55.7）分钟。术中出血量为（416.2±128.8）毫升。术后恢复顺利且良好。未发生严重并发症。住院时间为（6.2±1.0）天。
腹腔镜肝切除术治疗肝血管瘤安全可行。
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