腹腔镜肝尾状叶切除的单中心经验  

Single central experience of laparoscopic hepatic caudate lobectomy

作　　者：姜政辰 杜刚[1] 施彬垚 孔都[1] 杨金奂 高丽 靳斌[1] 胡三元[1] Jiang Zhengchen;Du Gang;Shi Binyao;Kong Du;Yang Jinhuan;Gao Li;Jin Bin;Hu Sanyuan(Qilu Hospital of Shandong University,Jinan 250012,China;General Surgery Department of the People′s Hospital in Lingcheng District,Dezhou 253500,China)

机构地区：[1]山东大学齐鲁医院普外科,济南250012 [2]山东德州市陵城区人民医院普外科,德州253500

出　　处：《中华腔镜外科杂志（电子版）》2018年第4期208-211,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：国家科学自然基金(81571367);山东省科技攻攻关(2016GSF201082)

摘　　要：目的探讨腹腔镜肝尾状叶切除的手术技巧,回顾性分析18例腹腔镜单独肝尾状叶切除术的临床疗效。方法 2013年1月至2018年3月,18例肝尾状叶肿瘤、血管瘤或局灶性结节性增生的患者采取腹腔镜肝尾状叶切除术,对其临床资料进行分析。结果 18例腹腔镜肝尾状叶切除术均成功,手术时间75~420 min,平均126. 3 min;术中出血量50~350 ml,平均87. 7 ml;术后住院时间6~15 d,平均10. 2 d;术后ALT、AST、TBIL在术后1 d上升,但是术后3 d及术后5 d呈下降的趋势。术后无出血、肝衰竭、感染、死亡等严重并发症。结论腹腔镜肝尾状叶切除是安全、可行的。Objective To explore the surgical technique of laparoscopic hepatic caudate lobectomy, and to analyze the clinical effect of 18 cases. Methods From Jan. 2013 to Mar. 2018, 18 patients with hepatic caudate lobe tumor, hemangioma or focal nodular hyperplasia were treated with laparoscopic hepatic caudate lobectomy, and their clinical data were analyzed. Results All the 18 cases of laparoscopic hepatic caudate lobectomy were suaessful. The operative time was 126.3（75- 420） minutes. The average estimated blood loss was 87.7（50- 350）ml, and no blood transfusions were required. The mean duration of hospital stay was 10.2（6- 15）days. There was no perioperative complication and patient mortality in this series. Conclusions Laparoscopic caudate lobectomy is safe and feasible in selected patients.

关 键 词：腹腔镜 肝尾状叶 肝癌 肝切除 

分 类 号：R657.3[医药卫生—外科学]