射频消融辅助肝切除术15例分析  

Clinical analysis of radiofrequency-assisted hepatic resection of 15 patients

作　　者：王冠男[1] 王小明[1] 胡明华[1] 孙卫东[1] 蒋亚琦[1] 韩猛[1] 方小三[1] 

机构地区：[1]皖南医学院弋矶山医院肝胆二科,芜湖241001

出　　处：《肝胆外科杂志》2013年第4期279-281,共3页Journal of Hepatobiliary Surgery

摘　　要：目的分析射频消融辅助肝切除术临床安全性和临床实用性。方法回顾性分析我院2012年1月至2013年1月15例肝脏疾病使用射频消融辅助肝切除术的临床疗效。结果成功进行15例手术。其中肝细胞肝癌8例,胆管细胞癌4例,肝血管瘤3例。全部完整切除。15例患者中,腹腔镜辅助肝切除5例,开放肝切除10例;右半肝切除5例,左半肝切除3例,肝段切除4例,不规则肝切除3例。平均切除时间(180±40)min,出血量(200±130)ml。所有患者手术过程均顺利,术后仅2例出现胆漏,经腹腔冲洗后治疗痊愈出院。无术后腹腔内出血、肝衰、切口感染及围手术期死亡发生。术后平均住院时间为(13±7)天。结论射频消融辅助肝切除术是一项安全、实用的方法,值得临床推广。Objective To investigate clinical efficiency and safety of radiofrequency-assisted hepatic resection. Methods From Jan 2012 to Jan 2013 ,we treated 15 hepatobiliary patients by radiofrequency-assisted hepatic resection. Clinical data was analysed retrospectively. Restflts 15 patients including hepatic cellular cancer in 8 patients, cholangiocellular carcinoma in g patients, carv- ernous hemangioma in 3 patients. All patients received hepatectomy. Laproscopic-assisted hepatic resection in 5 patients, open hepatic resection in 10 patients. Including right hepatectomy in 5 patients,left hepatectomy in 3 patients, hepatic lobectomy in 4 patients, nonv- regular hepatic lobectomy in 3 patients. The mean operation times was （ 180 ＋ 40） mmntes and mean blood loss was （ 200 ＋130） ml. Two patientw were complicated with bile leakage, and they were cured by non surgical treatment. There were no patients with postopera- tive hemorrhage,incision infection or hepatic failure. No mortality was observed. The mean postoperative hospital stay was （13 ＋ 7） days. Conclusion radiofrequency-assisted hepatic resection appears to be practical and efficient,worthing of putting it to use.

关 键 词：射频消融辅助肝切除术 安全实用性 临床应用推广 

分 类 号：R575[医药卫生—消化系统]