Hu Hai, Cai Xiu-Jun, Yu Hong, Liang Xiao, Wang Yi-Fan, Yang Jin, Huang Di-Yu, Zheng Xue-Yong
Department of General Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Institute of Minimally Invasive Surgery, Hangzhou 310016, China.
Zhonghua Yi Xue Za Zhi. 2009 Jul 14;89(26):1838-40.
To evaluate the feasibility and experience of laparoscopic resection for Spiegel lobe associated with left liver lobe.
Three patients underwent laparoscopic resection of Spiegel lobe associated with left liver lobe. Left hemihepatectomy or left lateral lobectomy was carried out firstly and then Spiegel lobe resected through the left-sided approach.
A total of 3 cases were performed successfully. The median operative time was 197 min and the median blood loss 467 ml. The postoperative period was uneventful without hemorrhage, bile leakage, infection or abdominal effusion.
Laparoscopic resection of Spiegel lobe associated with left liver lobe is safe and feasible when performed in selected cases and by experienced surgeons in laparoscopic hepatectomy.
评估腹腔镜下切除与左肝叶相连的斯皮格尔叶的可行性及经验。
3例患者接受了与左肝叶相连的斯皮格尔叶的腹腔镜切除术。首先进行左半肝切除术或左外侧叶切除术，然后通过左侧入路切除斯皮格尔叶。
共成功完成3例手术。中位手术时间为197分钟，中位失血量为467毫升。术后恢复顺利，无出血、胆漏、感染或腹腔积液。
对于选择的病例，由有经验的腹腔镜肝切除外科医生进行腹腔镜下切除与左肝叶相连的斯皮格尔叶是安全可行的。
