腹腔镜肝切除手术的临床应用  

Clinical application of laparoscopic hepatectomy

作　　者：徐道峰[1] 王小华[1] 何晓[1] 谢星 XU Dao-feng;WANG Xiao-hua;HE Xiao;XIE Xing(The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China)

机构地区：[1]赣南医学院第一附属医院肝胆胰外科,赣州341000

出　　处：《肝胆外科杂志》2021年第2期102-104,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨腹腔镜肝切除技术在临床应用的安全性及其技术难点。方法回顾性分析2017年12月~2019年12月我院腹腔镜肝切除治疗肝肿瘤患者65例,统计本组手术时间、术中出血量、术后肝功能恢复情况及术后短期并发症数据。结果本组手术时间平均为(275.3±42.6)min,术中平均出血量为(627.2±52.7)ml,有1例术后并发胆漏,术后平均住院时间(8.3±2.6)天。结论在熟练掌握腹腔镜肝切除技术要点的基础上,将其应用在肝切除手术中是安全可行的。Objective To explore the safety and difficulties of laparoscopic hepatectomy in clinical application.Methods From December 2017 to December 2019,65 patients with liver tumor treated by laparoscopic surgery in our hospital were analyzed retrospectively.The data of operation time,intraoperative hemorrhage,postoperative liver function recovery and short-term postoperative complications were collected.Results The average operation time was(275.3±42.6)minutes,the average amount of bleeding was(627.2±52.7)ml,there was a case of postoperative bile leakage,and the average hospital stay was(8.3±2.6)days.Conclusion On the basis of mastering the key points of laparoscopic hepatectomy,it is safe and feasible to apply it in hepatectomy.

关 键 词：肝肿瘤 腹腔镜 肝切除 

分 类 号：R735.7[医药卫生—肿瘤]