腹腔镜规则性肝左外叶切除的临床应用暨文献复习  

Clinical Application of Regular Laparoscopic Resection for Left Hepatic Lobe

作　　者：胡浩[1] 顾元龙[1] 何友钊[1] 翟年宽[1] 钱毅[1] 刘敏丰[1] 李建平[1] 

机构地区：[1]江苏省无锡市第三人民医院肝胆胰中心,无锡214041

出　　处：《中国现代手术学杂志》2012年第3期174-177,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨腹腔镜规则性肝左外叶切除的安全性和有效性。方法腹腔镜下行规则性肝左外叶切除7例,其中肝左外叶巨大囊肿4例、肝左外叶巨大血管瘤1例、肝左外叶肝细胞癌1例、肝左外叶慢性化脓性炎1例。结果 7例患者均成功在腹腔镜下施行了规则性肝左外叶切除术,无中转开腹,手术时间(148.6±79.5)min,术中出血(280.0±218.4)ml,术后胃肠功能恢复(2.6±1.5)d,术后住院(9.1±4.7)d,均无胆漏、出血、腹水、感染、空气栓塞等并发症发生。结论在掌握手术适应证、精心的病例选择及具备丰富的腹腔镜操作经验的基础上,腹腔镜规则性肝左外叶切除是安全、有效的,可充分发挥腹腔镜技术的微创优势。Objective To investigate the safety and effectiveness of regular laparoscopic resection for left hepatic lobe. Methods 7 cases received regular laparoscopic resection for left hepatic lobe, including 4 cases of large liver cyst, 1 case of hepatic giant hemangioma, 1 case of hepatocellular carcinoma and 1 case of chronic purulent inflammation. And all the 7 loci were located at the left hepatic lobe. Results The operation was successfully performed in the 7 cases. No conversion to laparotomy was needed, nor did any complications occur. The mean surgical time was （ 148.6 ± 79.5 ） minutes, the mean blood loss was （ 280.0 ± 218.4） ml, the mean postoperative recovery time of gastrointestinal function was （2.6 ± 1.5 ） days, and the mean postoperative hospital day was （9.1 ± 4.7）days. Conclusions Based on the strict surgical indications, careful patient selection and extensive experiences of laparoscopic surgery, regular laparoscopic resection for left hepatic lobe is a safe and effective technique which can give full play to advantages of minimally invasion and cosmetic results.

关 键 词：腹腔镜检查 肝切除术 

分 类 号：R657.3[医药卫生—外科学]