Cunningham J D, Katz L B, Brower S T, Reiner M A
Mount Sinai Medical Center, Department of Surgery, New York, New York 10029, USA.
Surg Laparosc Endosc. 1995 Aug;5(4):277-80.
New laparoscopic instrumentation coupled with standard surgical techniques allows one to perform procedures previously thought impossible via the laparoscope. This report reviews the natural history, the indications for resection, and the technique of laparoscopic resection of hepatic hemangiomata. Two women, 24 and 62 years of age, were first seen with abdominal pain. A diagnosis of hemangioma was made in each case, and both lesions were removed laparoscopically. Operative blood loss was 200 cc in each case, and neither patient required transfusion. Diets were started on the first postoperative day (POD), and the patients were discharged on the second and fourth PODs without narcotic analgesia. If the size and location of the tumor are favorable, laparoscopic resection of liver hemangiomata can be performed safely. Blood loss comparable to that of open procedures and a quicker recovery support an endosurgical approach to resection of liver hemangiomata in selected cases.
新型腹腔镜器械与标准外科技术相结合，使人们能够通过腹腔镜实施以前认为不可能进行的手术。本报告回顾了肝血管瘤的自然病程、切除指征以及腹腔镜肝血管瘤切除术的技术。两名女性患者，年龄分别为24岁和62岁，最初因腹痛就诊。两例均诊断为血管瘤，均通过腹腔镜切除病变。每例手术失血量均为200 cc，均未输血。术后第一天开始进食，两名患者分别于术后第二天和第四天出院，无需使用麻醉性镇痛药。如果肿瘤的大小和位置合适，腹腔镜肝血管瘤切除术可安全实施。与开放手术相当的失血量和更快的恢复支持在特定病例中采用内外科手术方法切除肝血管瘤。
