Hashizume M, Takenaka K, Yanaga K, Ohta M, Kajiyama K, Shirabe K, Itasaka H, Nishizaki T, Sugimachi K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Surg Endosc. 1995 Dec;9(12):1289-91. doi: 10.1007/BF00190161.
Despite recent progress in diagnostics for hepatocellular carcinoma, the rate of resectability remains low, mainly because of the advancement of the underlying liver disease. We report a case of a 54-year-old man with a hepatocellular carcinoma and poor liver function that was treated successfully with a laparoscopic hepatic resection. Laparoscopic hepatic resection is considered to be feasible with the aid of an ultrasonic dissector and a microwave coagulator; however, close attention should be paid to the development of air embolism and hepatic vein injury.
尽管肝细胞癌的诊断最近取得了进展，但可切除率仍然很低，主要是因为潜在肝脏疾病的进展。我们报告一例54岁男性肝细胞癌伴肝功能不良患者，经腹腔镜肝切除成功治疗。借助超声解剖器和微波凝固器，腹腔镜肝切除被认为是可行的；然而，应密切关注空气栓塞和肝静脉损伤的发生。
