Hu Minggen, Zhao Guodong, Xu Dabin, Ma Xin, Liu Rong
Department of Hepatobiliary Surgery, The Chinese PLA (People's Liberation Army) General Hospital, FuXing Road, Beijing, China.
Surg Laparosc Endosc Percutan Tech. 2011 Oct;21(5):e245-8. doi: 10.1097/SLE.0b013e31822de0ac.
Retroperitoneal laparoscopic surgery has been widely used for kidney and adrenal gland resection. However, there have not been any reports of laparoscopic hepatectomy performed using a retroperitoneal approach. Herein, we report on a successful case of laparoscopic hepatectomy using a retroperitoneal approach. Further, we discuss the key technical points, feasibility, and indications of this method.
A 48-year-old male patient with multiple hepatic metastases of the left lateral and right posterior segments of the liver following radical colon carcinoma resection underwent laparoscopic partial hepatectomy of the right posterior segment using a retroperitoneal approach, followed by laparoscopic hepatic left-lateral segmentectomy using a transabdominal approach.
The operation time was 120 minutes and the blood loss volume was 150 mL. The patient was discharged at nine days post-surgery. There were no complications, including hemorrhage and bile leakage.
The results of this case study provide evidence that a retroperitoneal approach is a novel, rapid, and safe method for laparoscopic hepatectomy that can be applied to the partial resection of small and superficial tumors of the right posterior segment of the liver.
腹膜后腹腔镜手术已广泛应用于肾脏及肾上腺切除术。然而，尚无腹膜后入路腹腔镜肝切除术的相关报道。在此，我们报告一例腹膜后入路腹腔镜肝切除术的成功病例。此外，我们还讨论了该方法的关键技术要点、可行性及适应证。
一名48岁男性患者，在根治性结肠癌切除术后出现肝左外叶及右后叶多发肝转移，先行腹膜后入路腹腔镜右后叶部分肝切除术，再行经腹入路腹腔镜肝左外叶切除术。
手术时间为120分钟，出血量为150毫升。患者术后九天出院。未出现包括出血和胆漏在内的并发症。
本病例研究结果表明，腹膜后入路是一种新颖、快速且安全的腹腔镜肝切除方法，可应用于肝右后叶小而表浅肿瘤的部分切除。
