腹腔镜下肝叶部分切除术的体会(附五例报告)  

5 Cases Treated with Hepatectomy in Celioscope

作　　者：王宁[1] 罗华[1] 黎前德[1] 胡朝辉[1] 匡铭[1] 张伟[1] 向荣超[1] 

机构地区：[1]绵阳市中心医院肝胆外科,四川绵阳621000

出　　处：《川北医学院学报》2005年第3期276-278,共3页Journal of North Sichuan Medical College

摘　　要：目的探讨腹腔镜肝叶切除术的手术适应症,切肝方法,操作技巧和并发症的预防。方法应用超声刀,腹腔镜下缝合打结技术进行腹腔镜下肝叶切除5例。其中左肝外叶(Ⅱ、Ⅲ段)3例,右肝Ⅳ、Ⅴ段1例,右肝Ⅵ段1例。结果5例手术全部成功,无并发症。术后平均12h下床活动,2d进食,术后平均住院时间为7天,全部治愈。结论严格的手术适应症,掌握腹腔镜下熟练的缝合打结技术,用超声刀断肝和止血,可以提高腹腔镜肝叶切除术的成功率,有效降低并发症和死亡率。Objective To discuss the operating indications, hemostasia, techniques and preventing complications with hepatectomy in celioscope. Methods The livers of the 5 cases were resected by using ultrasonic in celioscope . Results All the surgical treatment succeeded with no complications. The patients can walk after 12 days and can take food after 2 days of the treatment. The average time for hospitalization was 7 days. All the patients were cured. Conclusion If we can master the suturing techniques proficiently , succeeding rated with hepatectomy in celioscope can be improved by using ultrasonic and hemostasia, and complications and death rate can be decreased.

关 键 词：超声刀 腹腔镜 肝切除术 

分 类 号：R657.4[医药卫生—外科学]