完全腹腔镜左半肝切除术临床应用与分析  

Clinical applications and analysis of pure laparoscopic left hemihepatectomy.

作　　者：张豫峰[1] 余守江[1] 

机构地区：[1]郑州大学第一附属医院微创外科,郑州450052

出　　处：《中国综合临床》2008年第11期1152-1154,共3页Clinical Medicine of China

摘　　要：目的总结完全腹腔镜左半肝切除术的临床治疗经验。方法在不阻断全肝血流的情况下，行完全腹腔镜左半肝切除10例，其中原发性肝癌3例，肝海绵状血管瘤3例，肝囊肿2例，多发性肝内胆管结石2例。结果10例手术均在完全腹腔镜下顺利完成。手术时间190～340min，平均（253．0±51．2）min；出血量200—800ml，平均（342．0±191．7）ml。术后住院时间（5．2±1．3）d。无并发症发生。结论在现有的手术器械条件下，选择合适的适应证患者，行腹腔镜左半肝切除术是安全和可行的。Objective To study the clinical experience of pure laparoscopic left hemihepatectomy. Methods Pure laparoscopic left hemibepatectomy was attempted in 10 patients including 3 cases of primary hepatic carcinoma,3 cases of cavernous hemangioma of liver,2 cases of hepatic cyst, and 2 cases of calculus of intrahepatic duct. Results Fully pure laparoscopic left hemihepatectomy was accomplished for all 10 cases. Operation time was 190- 340 （ 253.0 ± 51.2 ） min, blood loss was 200-800 （ 342.0 ± 191.7 ） ml, and hospital stay was （ 5.2 ± 1.3 ） d . No complications occurred. Conclusion Laparoscopic left hemibepatectomy is safe and feasible, which can be considered as an excellent choice for selected cases.

关 键 词：肝切除术 腹腔镜 左半肝 

分 类 号：R657.3[医药卫生—外科学]