Saint Marc Olivier, Cogliandolo Andrea, Piquard Arnaud, Famà Fausto, Pidoto Rocco R
Service de Chirurgie Digestive Endocrinienne et Thoracique, Centre Hospitalier Regional d'Orléans, France.
Surg Laparosc Endosc Percutan Tech. 2008 Dec;18(6):551-5. doi: 10.1097/SLE.0b013e318180c93b.
Laparoscopic major liver resections are regarded as demanding operations whose convenience is still under evaluation. The aim of the present study was to report our early experience and to describe surgical technique of laparoscopic major liver resections. Study group consisted of 6 female patients with benign disease and a mean age of 40.5 years, who underwent right hepatectomy in 4 cases and left hepatectomy in 2 cases. No mortality was observed. Morbidity consists in 1 biliary fistula that requires rehospitalization and a new laparoscopic operation. The mean operative time was of 201.7 minutes, with a mean hospital stay of 5.5 days. The authors conclude that laparoscopic major liver resections could be performed, at least for benign disease and by surgeons experienced in laparoscopy, with good results. Nevertheless, further studies are required before to draw definitive conclusions, especially for neoplastic patients who represent the most relevant group.
腹腔镜下大肝切除术被视为具有挑战性的手术，其便利性仍在评估之中。本研究的目的是报告我们的早期经验，并描述腹腔镜下大肝切除术的手术技术。研究组由6名患有良性疾病的女性患者组成，平均年龄为40.5岁，其中4例行右肝切除术，2例行左肝切除术。未观察到死亡病例。并发症包括1例需要再次住院和进行新的腹腔镜手术的胆瘘。平均手术时间为201.7分钟，平均住院时间为5.5天。作者得出结论，至少对于良性疾病且由有腹腔镜经验的外科医生进行操作时，腹腔镜下大肝切除术可以取得良好效果。然而，在得出明确结论之前还需要进一步研究，特别是对于最相关的肿瘤患者群体。
