Wang Lu, Fan Jia, Qin Lun-xiu, Sun Hui-chuan, Ye Qing-hai, Wu Jin-cai, Bai Dou-sheng, Wang Xiao-ying, He Yi-feng, Pan Qi, Chen Pei, Zhou Jian, Tang Zhao-you
Department of Liver Surgery, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Zhonghua Wai Ke Za Zhi. 2008 Nov 1;46(21):1621-3.
To assess the feasibility, safety and outcome of anatomical laparoscopic left lateral hepatic lobectomy for benign and malignant liver tumors.
From April 2005 to May 2008, 11 patients (7 male, 4 female; mean age 51.7 years) underwent anatomical laparoscopic left lateral hepatic lobectomy. Four patients presented with hepatocellular carcinoma and cirrhosis, while 1 patient had metastatic liver tumors from postoperatively colon cancer, five patients had hemangioma (2 cases with gallstones underwent cholecystectomy), 1 patient had a huge symptomatic angiolipoleiomyoma. Mean tumor size was 5.8 cm (range 2.1 to 12.0 cm). All the lesions were localized in the anatomical left lateral lobe (segments II to III).
The mean operative time was 147 min (range 120 to 180 min). There were no intraoperative or postoperative complications, and blood transfusions were not required. The mean postoperative hospital stay was 5.9 days.
Anatomical laparoscopic left lateral hepatic lobectomy are feasible and safety.
评估解剖性腹腔镜左外叶肝切除术治疗肝脏良恶性肿瘤的可行性、安全性及疗效。
2005年4月至2008年5月，11例患者（男7例，女4例；平均年龄51.7岁）接受了解剖性腹腔镜左外叶肝切除术。4例为肝细胞癌合并肝硬化，1例为结肠癌术后肝转移瘤，5例为肝血管瘤（2例合并胆结石行胆囊切除术），1例为巨大有症状的血管平滑肌脂肪瘤。平均肿瘤大小为5.8 cm（范围2.1至12.0 cm）。所有病变均位于解剖学左外叶（Ⅱ至Ⅲ段）。
平均手术时间为147分钟（范围120至180分钟）。无术中或术后并发症，无需输血。术后平均住院时间为5.9天。
解剖性腹腔镜左外叶肝切除术是可行且安全的。
