腹腔镜肝切除治疗肝脏占位性病变的临床研究  

Clinical research of laparoscopic hepatectomy for liver occupying lesions

作　　者：张瑞[1] 徐钧[1] 陈智[1] 武书胜[1] 董永红[1] 

机构地区：[1]山西省人民医院普外科一病区,太原030012

出　　处：《山西医科大学学报》2017年第1期69-71,共3页Journal of Shanxi Medical University

摘　　要：目的探讨腹腔镜肝切除治疗肝脏占位性病变的临床疗效及安全性。方法选取我院2009-01~2016-05行腹腔镜肝切除术的患者共41例,观察手术时间、术中出血量、腹腔引流时间、恢复活动时间和术后住院时间及并发症情况。结果39例顺利完成腹腔镜手术,2例因术中大出血,中转开腹。腹腔镜手术时间(225.3±17.5)min,术中出血量(675.3±45.4)ml,术后引流时间3-5 d,术后恢复活动时间(3.1±1.9)d,术后住院时间(8.5±1.6)d。2例术后出现胆漏。结论腹腔镜肝切除术治疗肝脏占位性病变创伤小、恢复快,并发症少,具有临床推广价值。Objective To explore the clinical efficacy and safety of laparoscopic hepatectomy for liver occupying lesions.Methods Clinical data of 41 patients with liver occupying lesions were collected in our department from January 2009 to May 2016.All patients underwent the laparoscopic hepatectomy.The operation time,blood loss,drainage time,time of recovering activity,hospital stay time after operation and complications were observed.Results In all 41 patients,39 patients completed laparoscopic hepatectomy,and 2patients transfered to the laparotomy due to bleeding.The operation time was（225.3 ± 17.5） min,blood loss was（675.3 ± 45.4） ml,drainage time was 3- 5 d,time of recovering activity was（3.1 ± 1.9） d,and hospital stay time after operation was（8.5 ± 1.6） d.Two patients had bile leakage after operation.Conclusion Laparoscopic hepatectomy for liver occupying lesions has minimal trauma,shorter postoperative recovery time,and fewer complications.

关 键 词：腹腔镜 肝切除 肝脏占位性病变 

分 类 号：R657.3[医药卫生—外科学]