腹腔镜肝切除术的初步经验  

Experience in laparoscopic hepatotectomy: Report of 9 Cases

作　　者：余小舫[1] 鲍世韵[1] 孙枫林[1] 郑锦锋[1] 周汉新[1] 

机构地区：[1]暨南大学医学院第二临床学院深圳市人民医院肝胆外科,518020

出　　处：《腹部外科》2006年第1期16-17,共2页Journal of Abdominal Surgery

摘　　要：目的探讨腹腔镜肝切除的手术操作技术。方法回顾性分析我院1999年5月～2005年10月间9例腹腔镜肝切除术的临床资料。结果9例均顺利完成手术，无中转开腹者。平均手术时间178min（75～240min），术中平均出血395ml。所有病人术后均有一过性的GPT、COT和LDH上升，但均在术后一周恢复到正常水平。除1例术后发生左肺感染外，其余均未出现任何与手术相关的并发症。术后平均住院9．2d（6～12d）。结论“手辅助”可有效降低腹腔镜肝切除术的难度。合理选用肝离断器械、手术者之问的良好配合是减少断肝过程中出血的重要条件。Objective To sum up the operating experiences oi laparoscopic hepatotectomy. Methods The operating experience in 9 patients subject to laparoscopic hepatotectomy from 1999 to 2005 were analyzed retrospectively. Results All of 9 cases were operated successfully without converted abdominal operation. The mean operating time was 178 rain （75-240 min） and the amount of operative blood loss was 395 ml. Transitorily increased GPT, GOT and LDH after operation occurred in all patients, but returned to the normal level on the postoperative day 7. No severe complication relative to the operation occurred except of one case of left lung infection. The postoperative hospital stay was 9. 2 days （6-12days）. Conclusion ① ＂Hand assisted＂ is an effective way to reduce an operative risk and to shorten operating time of laparoscopic Hepatectomy; ②A reasonable technique of liver resection according to the different site of hepatectomy, and a good cooperation of operator and assistor are important factors to reduce operative blood loss.

关 键 词：外科学 腹腔镜 肝切除术 肝疾病 腹腔镜肝切除术 初步经验 手术操作技术 平均手术时间 回顾性分析 临床资料 

分 类 号：R657.3[医药卫生—外科学] R821[医药卫生—临床医学]