Hu Ming-Gen, Liu Rong, Luo Ying
Department of Hepatobiliary Surgery, the People's Liberation Army General Hospital, Beijing 100853, China.
Zhonghua Wai Ke Za Zhi. 2008 Dec 1;46(23):1774-6.
To discuss the value of laparoscopic hepatectomy (LH) for hepatocellular carcinoma (HCC).
From April 2002 to December 2007, 123 cases of HCC, included 82 males and 41 females, with a mean age of 53.8 years (range 31 - 69 years) underwent LH.
Ninety-three cases underwent total laparoscopic hepatectomies (included regular hepatectomies in 52 cases). Twenty-six cases underwent laparoscopy assisted hepatectomies (included regular hepatectomies in 12 cases). Four cases converted to open hepatectomies because of massive bleeding of hepatic vein. The operative time was (205.5 +/- 92.5) min (range 115 - 290 min). The median intraoperative blood loss was 250 ml (rang 100 - 1500 ml). The postoperative hospital stay was (5.8 +/- 1.6) days (range 3 - 15 days). The biggest size of the resections was 18 cm x 16 cm x 12 cm. One patient died of gas embolism during the operation. Biliary fistula occurred in 5 cases and ascites in 8 cases postoperatively, which were cured for several days. By 4 - 61 months of follow up, recurrence in liver occurred in 5 cases. There was no peritoneum and port metastasis.
LH is a safe and feasible method for the treatment of HCC.
探讨腹腔镜肝切除术（LH）治疗肝细胞癌（HCC）的价值。
2002年4月至2007年12月，123例HCC患者接受了LH，其中男性82例，女性41例，平均年龄53.8岁（范围31 - 69岁）。
93例行完全腹腔镜肝切除术（其中52例行规则肝切除术）。26例行腹腔镜辅助肝切除术（其中12例行规则肝切除术）。4例因肝静脉大出血转为开腹肝切除术。手术时间为（205.5±92.5）分钟（范围115 - 290分钟）。术中中位失血量为250毫升（范围100 - 1500毫升）。术后住院时间为（5.8±1.6）天（范围3 - 15天）。最大切除尺寸为18厘米×16厘米×12厘米。1例患者在手术期间死于气体栓塞。术后5例发生胆瘘，8例发生腹水，均在数天内治愈。随访4 - 61个月，5例肝脏复发。无腹膜及肝门转移。
LH是治疗HCC的一种安全可行的方法。
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