Glisson肝蒂解剖法联合背侧入路行腹腔镜左肝切除:17例报道  

Glissonian approach combined with dorsal approach for laparoscopic left hepatectomy: with a report of 17 cases

作　　者：王少和 余德才[1] 吴星宇[1] Wang Shaohe;Yu Decai;Wu Xingyu.(Department of Hepatobiliary Surgery, the Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing 210008, China)

机构地区：[1]南京大学医学院附属鼓楼医院肝胆外科,210008

出　　处：《中华腔镜外科杂志（电子版）》2018年第2期117-120,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：国家自然科学基金面上项目(81372455);江苏省科教兴卫工程重点人才项目(ZDRCA2016063)

摘　　要：目的探讨Glisson肝蒂解剖法联合背侧入路法行腹腔镜左肝切除的安全性和可行性。方法 2017年1月至12月,南京大学医学院附属鼓楼医院17例肝病患者纳入回顾性研究。所有患者均接受腹腔镜左肝切除。收集患者的手术时间、术中出血量、中转开腹率、术后并发症及术后住院时间。结果 8例男性和9例女性肝病患者纳入研究。17例患者的年龄(58.71±11.75)岁。17例患者均接受腹腔镜左肝切除,无中转开腹,其中14例行左半肝切除、3例左半肝联合尾状叶切除。手术时间(278.82±66.51)min,术中出血量(323.53±130.05)ml,无中转开腹。3例患者术中输3~4单位悬浮红细胞。其中患者7和患者10均于术后5 d患胆瘘,均于术后2周内治愈出院;其余患者恢复均正常,术后7 d出院。结论 Glisson肝蒂解剖法联合背侧入路行腹腔镜左肝切除安全、有效,是一种值得推广的手术入路。Objective The purpose of this study was to summary the safety and feasibility of Glissonian approach combined with dorsal approach for laparoscopic left hepatectomy. Methods From Jan.to Dec. 2017,17 patients underwent laparoscopic left hepatectomy ware retrospectively analyzed. The operative time, intraoperative blood loss, conversion to laparotomy, postoperative complications and postoperative hospital stay were collected. Results 17 patients,including 8 males and 9 females,were enrolled in this study. The mean age was（58. 71 ± 11. 75） year old. The mean operation time was（278. 82 ± 66. 51） min with estimated blood loss（323. 53 ± 130. 05） ml. Only three patients received3-4 units packed red blood cells. Case 7 and 10 both suffered from bile leakage. Both recovered and discharged after operation. The others were recovered normal and discharged on the postoperative day 7.Conclusions Glissonian approach combined with dorsal approach for laparoscopic left hepatectomy was safe and feasible,and worthy being extended.

关 键 词：腹腔镜 肝切除 背侧入路 

分 类 号：R657.3[医药卫生—外科学] R735[医药卫生—临床医学]