腹腔镜解剖性肝切除术治疗肝癌16例  

Total laparoscopic anatomical hepatectomy for primary liver cancer:a report of 16 cases

作　　者：王恺[1] 徐智[1] 黄明文[1] 罗志强[1] 方路[1] 娄思源[1] 邹书兵[1] 

机构地区：[1]南昌大学第二附属医院肝胆外科,江西省南昌市330006

出　　处：《世界华人消化杂志》2010年第20期2163-2165,共3页World Chinese Journal of Digestology

基　　金：江西省卫生厅科技计划基金资助项目;No.20043055~~

摘　　要：目的:探讨完全腹腔镜解剖性肝切除术在原发性肝癌治疗中的作用.方法:回顾性分析本单位16例行完全腹腔镜解剖性肝切除手术治疗原发性肝癌的临床资料.结果:16例均顺利完成手术.11例行腹腔镜Ⅱ、Ⅲ段肝切除术,5例行左半肝切除术.手术时间90-125min,出血量50-400mL.平均住院时间7.7d.无并发症.结论:完全腹腔镜解剖性肝脏切除术是原发性肝癌治疗中安全有效的手术方式.AIM：To evaluate the efficacy and safety of total laparoscopic anatomical hepatectomy in the management of primary liver cancer. METHODS：The clinical data for 16 primary liver cancer patients who underwent total laparoscopic anatomical hepatectomy were analyzed retrospectively. RESULTS：The operation was successful in all the 16 patients,including 5 undergoing total laparoscopic anatomical left hemihepatectomy and 11 undergoing total laparoscopic anatomical left lateral sectionectomy.The operation time ranged from 90-125 min and the intraoperative blood loss from 50-400 mL.The mean postoperative hospitalization was 7.7 d.No complications occurred in all cases. CONCLUSION：Total laparoscopic anatomical hepatectomy is a safe and effective treatment for primary liver cancer.

关 键 词：腹腔镜 肝脏切除术 原发性肝癌 

分 类 号：R657.3[医药卫生—外科学]