Pan Yangxun, Chen Jinbin, Chen Jiancong, Xu Li, Zhou Zhongguo, Chen Minshan, Zhang Yaojun
Department of Hepatobiliary Surgery, Sun Yat-sen University Cancer Center.
State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Surg Laparosc Endosc Percutan Tech. 2019 Dec;29(6):e98-e101. doi: 10.1097/SLE.0000000000000724.
The single-port laparoscopic technique has been widely applied in abdominal surgery. We introduce a single-port laparoscopic hepatectomy for liver tumor in a single center.
This study included 37 patients who underwent single-port laparoscopic liver resection for liver tumor in the segments II, III, IV, and V between October 2017 and November 2018. Their perioperative course and operative techniques were retrospectively evaluated.
All patients underwent single-port laparoscopic hepatectomy for liver tumor. None of the cases was converted to open surgery. The median procedure duration was 100 minutes (39 to 240 min), and the median blood loss volume was 50 mL (30 to 300 mL). No postoperative complications >3 grades were observed during the perioperative period. The median postoperative hospital stay was 4 days (3 to 7 d).
Single-port laparoscopic hepatectomy is a safe, feasible, and minimal incision, especially for tumors in the left lobe.
单孔腹腔镜技术已在腹部手术中广泛应用。我们在单中心介绍一种用于肝肿瘤的单孔腹腔镜肝切除术。
本研究纳入了2017年10月至2018年11月间因肝肿瘤接受单孔腹腔镜肝段II、III、IV和V肝切除术的37例患者。对其围手术期过程和手术技术进行回顾性评估。
所有患者均接受了单孔腹腔镜肝肿瘤切除术。无一例转为开放手术。手术中位时长为100分钟（39至240分钟），中位失血量为50毫升（30至300毫升）。围手术期未观察到>3级的术后并发症。术后中位住院时间为4天（3至7天）。
单孔腹腔镜肝切除术是一种安全、可行且切口最小的手术，尤其适用于左叶肿瘤。
