腹腔镜肝尾状叶肿瘤切除术的临床应用(附5例报告)  

Clinical application of laparoscopic resection in hepatic caudate lobe tumor:with a report of 5 cases

作　　者：靳斌[1] 杜刚[1] 周兵海 孔都[1] 施彬垚 宋奎全[1] 李纲[1] 胡三元[1] JIN Bin DU Gang ZHOU Bing-hai et al(Department of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, China)

机构地区：[1]山东大学齐鲁医院,山东济南250012

出　　处：《腹腔镜外科杂志》2017年第2期108-110,共3页Journal of Laparoscopic Surgery

基　　金：国家自然科学基金资助项目(编号:81571367);山东大学基础科研项目资助项目(编号:2014QLKY18)

摘　　要：目的:探讨腹腔镜肝尾状叶肿瘤切除的安全性及可行性。方法:回顾分析2015年6月至2016年5月为5例患者行腹腔镜肝尾状叶肿瘤切除术的临床资料。结果:5例患者均成功在腹腔镜下完成手术,无一例中转开腹。手术时间75～150 min,术中出血量50～200 ml,患者术中、术后均未输血,术后未出现出血、胆漏、感染、肝衰竭等症状,术后第1天拔除胃管,予以流质饮食,术后第7天出院,术后病理与术前诊断符合,肝癌2例,肝血管瘤3例。术后随访6～17个月,未出现复发,患者均恢复良好。结论:腹腔镜技术的应用减少了患者的创伤,缩短了住院时间,在严格掌握适应证、充分的术前准备后,腹腔镜肝尾状叶肿瘤切除术是安全、可行的,可获得满意疗效。Objective： To investigate the safety and feasibility of laparoscopic resection of hepatic caudate lobe tumor. Methods： The clinical data of 5 patients who underwent laparoscopic hepatic caudate lobe tumor resection in Qilu Hospital of Shandong University from Jun. 2015 to May 2016 were retrospectively analyzed. Results： All the 5 patients were successfully operated under laparoscopy without conversion to laparotomy. The operation time was 75-150 min and the intraoperative blood loss was 50-200 ml. All the patients had no blood transfusion during or after operation. There were no bleeding,bile leakage,infection and liver failure after operation.The gastric tube was removed and the fluid diet was given on the first day after operation. The hospitalization time was 7 d. The pathology was consistent with the preoperative diagnosis. 2 cases of liver cancer and 3 cases of hepatic hemangioma were followed up. The follow-up period was from 6 to 17 months,the patients recovered well and no recurrence was found. Conclusions： Laparoscopic technique can reduce the trauma and shorten the hospitalization time. In the strict grasp of the indications and adequate preoperative preparation,laparoscopic resection of hepatic caudate lobe tumor is safe and feasible with satisfactory results.

关 键 词：肝肿瘤 尾状叶 肝切除术 腹腔镜检查 治疗结果 

分 类 号：R735.7[医药卫生—肿瘤]