25例肝血管瘤手术方式分析  

Analysis of operation procedures in hepatic hemangioma

作　　者：韩冰[1] 马凯[1] 孙洪利[1] 

机构地区：[1]中国医科大学附属盛京医院第一微创胆道外科,辽宁沈阳110004

出　　处：《生物医学工程与临床》2009年第2期120-122,共3页Biomedical Engineering and Clinical Medicine

摘　　要：目的分析比较几种肝血管瘤手术治疗方式的优缺点。方法回顾分析2007年7月～2008年7月收治的肝血管瘤手术患者25例，其中男性10例，女性15例，年龄32～64岁，平均年龄48-4岁。行肝血管瘤薄膜外剥除术11例；行肝叶切除术9例；行腹腔镜肝血管瘤切除术5例（其中1例行小切口手助腹腔镜肝血管瘤切除术）。结果腹腔镜手术对于肝血管瘤治疗在手术切口长度、术后拔引流管时间、住院天数上有优势；而在手术时间、术中出血量和手术适应证宽度上不如开腹手术。结论随着腹腔镜技术应用的推广和技术的熟练，腹腔镜对于肝血管瘤患者亦可应用．但其对医生手术技术及设备要求较高，所以手术治疗方式的选择要根据患者的自身情况、术者的经验及医院设备综合考虑决定。Objective To analyze and compare the operative procedures in hepatic hemangioma and their characteristics. Methods Twenty-five patients with hepatic hemangioma （male 10, female 15, aged 32 - 64 years, mean age 48.4 years） were analyzed retrospectively from July 2007 to July 2008, 11 cases of divest operation, 9 hepatolobectomy, and 5 with laparoscopy in hepatic hemangioma （1 hand-assisted laparoscopic resection for hepatic hemangioma）. Results The length of incision and postoperative drainage duration in laparoscopic surgery were shorter than those of laparotomy. But the operation time, intraoperative bleeding and indication of open surgery skill had some advantages. Conclusion The laparoscopic surgery is an effective treatment in hepatic hemangioma with the application and proficiency of laparoscopic technique, but it needs laparoscopic equipment and experienced surgical teams. So the decision of adopting which kind of operation is according to patients＇condition, doctor＇s experience and surgical equipment.

关 键 词：肝血管瘤 开腹手术 腹腔镜 

分 类 号：R735.7[医药卫生—肿瘤]