经腹腔镜不阻断肝门行肝切除术47例  

Laparoscopic hepatectomy without hepatic inflow occlusion in 47 cases

作　　者：刘松阳[1] 王广义[1] 刘凯[1] 张威[1] 计洪波[1] 

机构地区：[1]吉林大学第一医院外科,吉林130021

出　　处：《腹部外科》2012年第2期88-89,共2页Journal of Abdominal Surgery

摘　　要：目的探讨不阻断肝门腹腔镜肝切除术（LH）应用的可行性。方法回顾性分析2007年1月至2011年11月间吉林大学第一医院47例不阻断肝门LH病人的临床资料。结果46例不阻断肝门LH获成功，1例中转开腹。其中肝左外叶切除10例，肝部分切除36例。恶性疾病14例，良性疾病32例。平均手术时间92．6min，平均术中出血量173ml，平均术后住院时间6．7d，无术后死亡，全部治愈。结论对于位于肝脏第Ⅱ～Ⅵ段肿瘤，不阻断肝门LH术是一种安全可行的治疗方法。Objective To study the feasibility of laparoscopic hepatectomy without hepatic inflow occlusion. Methods The clinical data of 47 patients who received laparoscopic hepatectomy without hepatic inflow occlusion at First Hospital of Jilin University from Jan. 2007 to Nov. 2011 were retrospectively analyzed. Results The operation was successfully performed on 46 patients, including 10 cases of left lateral hepatectomy and 36 cases of partial hepatectomy （1 4 cases of malignant disease, 32 cases of benign disease）. One patient was converted to open laparotomy. The mean operative time was 92. 6 min, blood loss during operation was 173 ml, the mean postoperative hospital stay was 6. 7 days, and there was no death. Conclusion Laparoscopic hepatectomy without hepatic inflow occlusion is an effective, safe and minimally invasive approach for patients with liver neoplasms within segments Ⅱ-Ⅵ.

关 键 词：肝切除术 腹腔镜检查 可行性研究 

分 类 号：R657.3[医药卫生—外科学]