腔镜辅助带肝中静脉活体右半肝供肝切取技术：附七例报道  

Assisted laparoscopic hepatectomy on right liver living donor with middle hepatic vein： 7 cases report

作　　者：蒋文涛[1] 潘澄[1] 沈中阳[1] 张全胜[1] 孟醒初[1] 马楠[1] 李阳[1] 田大治[1] 张骊[1] 史源[1] 

机构地区：[1]天津医科大学一中心临床学院,天津市第一中心医院移植外科,300192

出　　处：《中华肝胆外科杂志》2012年第7期526-528,共3页Chinese Journal of Hepatobiliary Surgery

基　　金：天津市科技计划项目（10ZCGYSF00500）;天津市卫生局科技基金（09KY09）

摘　　要：目的探讨腹腔镜辅助肝切除（assistedlaparoscopichepatectomy，ALH）技术在活体肝移植供体切取中的应用及其意义。方法对2011年5月30日至9月1日我院7例成功施行腹腔镜辅助带肝中静脉（middle hepatic vein，MHV）活体右半肝供肝切取术的患者资料进行回顾分析。结果供者残肝比例32．10％～38．31％。7例供者术后伤口疼痛较轻，未出现外科并发症。7例均为皮内缝合，术后7d伤口拆线，愈合良好。术后2周肝功能基本恢复正常。结论ALH可安全用于带MHV的活体右半肝供肝切取。ALH兼顾腹腔镜手术微创和开腹手术安全性高的特点，更容易为供、受者接受。Objective To explore the application and significance of assisted laparoscopic hepa- teetomy （ALH） in living-donor-hepateetomy. Methods We successfully performed 7 cases of ALH of right hepatectomy on living donor from 30/5/2011 to 1/9/2011. Results The donors recovered well with ratio of remnant lver： 32.10 %- 38.31 %, good liver ruction, little pain and no surgical complica- tions. All the wound sutured intracuteneously was taken out stitches 7 days after operation and healed perfectly. Liver function got normal 2 weeks after operation. Conclusions ALH, which gives the consideration to both the minimal invasion of laparoscopic surgery and safe of open surgery, can be applied safely in hepatectomy of living donor and highly acceptible for donor and receptor.

关 键 词：腔镜 肝切除 肝中静脉 

分 类 号：R657.3[医药卫生—外科学]