急诊手助式腹腔镜肝切除治疗原发性肝癌破裂出血  

Emergency hand-assisted laparoscopic hepatectomy for spontaneous rupture of primary hepatocellular carcinoma

作　　者：朱光辉[1] 翁杰锋[1] 戴丽华[1] 

机构地区：[1]广州市第一人民医院肝胆外科,广州510180

出　　处：《国际外科学杂志》2008年第6期388-390,共3页International Journal of Surgery

摘　　要：目的 分析总结原发性肝癌破裂出血时急诊行手助式腹腔镜肝切除的方法和经验。方法回顾性分析15例急诊行手助式腹腔镜肝切除手术治疗的原发性肝癌破裂出血病例的临床资料。结果15例原发性肝癌破裂出血的病例均顺利完成手术，无手术死亡。13例获得随访，生存时间11-56个月。1、3年生存率分别为84．6％（11／13）、53．8％（7／13）。结论在经过临床选择的病例中，急诊手助式腹腔镜肝部分切除术治疗原发性肝癌破裂出血是安全可行的，疗效显著，如患者的病情允许可作为首选。Objective To assess the efficacy of emergency hand-assisted laparoscopic hepatectomy for spontaneous rupture of primary hepatocellular carcinoma. Methods A total of 15 cases who underwent emergency hand-assisted laparoscopic hepatectomy for spontaneous rupture of primary hepatocellular carcinoma were retrospectively reviewed. Results All operations were successful. The postoperative mortality rate was. Thirteen cases were followed-up from 11 months to 56 months. The overall 1-, 3-year survival rate was 84. 6% （11/13） ,53. 8% （7/13）respectively. Conclusion Emergency hand-assisted laparoscopic bepatectomy is a safe and feasible approach for pontaneous rupture of primary hepatocellular carcinoma in clinically selected patients. If the patients condition permits it, emergency hand-assisted laparoscopic bepatectomy should be the treatment of choice.

关 键 词：肝肿瘤 腹腔镜 肝切除术 

分 类 号：R735.7[医药卫生—肿瘤] R656.9[医药卫生—临床医学]