腹腔镜下肝脏海绵状血管瘤的治疗  

Laparoscopic therapy of hepatic cavernous hemangiomas

作　　者：李荣梓[1] 柴福录[1] 肖毅[1] 李红梅[1] 史建华[1] 

机构地区：[1]解放军兰州军区兰州总医院肝胆外科,甘肃兰州730050

出　　处：《临床军医杂志》2011年第3期434-436,共3页Clinical Journal of Medical Officers

摘　　要：目的总结腹腔镜下肝脏海绵状血管瘤的治疗经验,探讨其安全性及可行性。方法回顾性分析我院67例腹腔镜下治疗肝脏海绵状血管瘤的临床资料,其中58例行腹腔镜下肝脏海绵状血管瘤的射频消融治疗,9例行腹腔镜下肝血管瘤的切除治疗。结果本组病例均在腹腔镜下完成手术治疗,平均手术时间约100 min,平均出血量约300 ml,术后第2天均能下地活动,并进流质饮食,术后平均住院时间5 d,1例术后出现右肝管狭窄,术后无胆漏出血,随访远期效果良好。结论腹腔镜下肝海绵状血管瘤的治疗是安全可行的,疗效确切,治疗病例应严格选择。Objective To summarize the experience of laparoscopic therapy of hepatic cavernous hemangiomas（HCH） and evaluate the feasibility and security.Methods 67 cases of laparoscopic therapy of hepatic cavernous hemangiomas in our department were retrospectively analyzed.Laparoscopic radiofrequency ablation therapy were performed in 58 cases,laparoscopic partial hepatectomy under general anesthesia were performed in other 9 cases.Results Laparoscopic therapy was performed in all cases.The mean operation time was 100 minute.The mean blood loss was 300ml.Every one could walk 2 days after operation.The mean hospitalization time is 5 days.One case developed right hepatic duct stenosis.Neither bile leakage nor abdominal bleeding was observed.The long-term effects were satisfactory.Conclusion Laparoscopic therapy of HCH is a feasible,practical and safe procedure,with excellent therapeutic results,and also is a new minimally invasive technique.Treatment cases should be strictly choosen.

关 键 词：腹腔镜 肝脏海绵状血管瘤 射频消融 肝部分切除术 

分 类 号：R735.7[医药卫生—肿瘤]