5例腹腔镜下肝叶部分切除术的体会  

Laparascopic hepatolobectomy:Report of 5 cases

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：《现代医药卫生》2006年第2期167-168,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨腹腔镜肝叶切除术的手术适应证,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12小时下床活动,2天进食,术后平均住院时间为7天,全部治愈。结论:严格的手术适应证,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 investigate the operative indication,resectional method,operative technique and prevention of complication of laparoscopie hepatolobectomy.Methods：With the ultrasonic knife,laparoscopie hepatolobeetomy was performed in 5 cases.In which the segments Ⅱ and Ⅲ of external lobe in left liver were excised in 3 cases,the segments Ⅳ and Ⅴ in fight liver in 1 case and the segment Ⅵ in right liver in 1 case.Results：All the surgical operations were successful without complication.The average time of getting out bed for activities and taking food was 12 hours and 2 days respectively after operation,the average time of hospitalization was 7 days.All the patients were cured.Conclusion：Strictly grasping the operative indication,improving the operative technique of laparoscopic hepatolobectomy and using ultrasonic knife for severing liver and hemostasia can improve the success rate,and effectively reduce the death rate and complication.

关 键 词：超声刀 腹腔镜 肝切除术 

分 类 号：R6[医药卫生—外科学]