腹腔镜下外科技术结合超声引导消融治疗肝巨大血管瘤:附300例报告  

Application of laparoscopy and ultrasound-guided microwave ablation in the treatment of giant hepatic hemangioma:a report of 300 cases

作　　者：江蜜 柴楚星 张树华[1] 李民 唐勇 万赤丹 熊俊[1] Jiang Mi;Chai Chuxing;Zhang Shuhua;Li Min;Tang Yong;Wan Chidan;Xiong Jun(Department of Hepatobiliary Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science&Technology,Hubei Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院肝胆外科,湖北武汉430022

出　　处：《腹部外科》2021年第4期276-279,共4页Journal of Abdominal Surgery

基　　金：湖北省自然科学基金项目(2017CFB634)。

摘　　要：目的探讨腹腔镜下外科技术结合超声引导消融技术在肝巨大血管瘤中的应用效果。方法回顾性分析2015年10月至2021年3月于华中科技大学同济医学院附属协和医院接受腹腔镜下超声引导消融治疗肝巨大血管瘤300例病人的临床资料,分析手术时间、术中出血量、术后住院时间、并发症发生率及术后复发情况。结果所有病人均顺利完成腹腔镜下超声引导肝血管瘤消融,手术时间为(32.3±15.1) min,术中出血量为(20.9±10.7) mL,术后住院时间为(3.2±1.7) d,围手术期并发症总发生率为5.7%(17/300),无术后远期并发症。结论腹腔镜外科技术结合腹腔镜超声引导下血管瘤消融具有安全、微创、有效、并发症发生率低等特点,是治疗肝血管瘤的有效方法。Objective To explore clinical application of laparoscopic ultrasound-guided microwave ablation in the treatment of giant hepatic hemangioma.Methods From October 2015 to March 2021,retrospective review was performed for clinical data of patients with giant hepatic hemangioma undergoing laparoscopic ultrasound-guided microwave ablation.Operative duration,intraoperative volume of blood loss,postoperative hospital stay,postoperative complications and recurrence were recorded.Results All patients received laparoscopic ultrasound-guided microwave ablation without any conversion.Mean operative duration was(32.3±15.1)min,intraoperative volume of blood loss(20.9±10.7)mL,postoperative stay(3.2±1.7)days and overall short-term morbidity 5.7%(17/300).There was no long-term complication.Conclusion Laparoscopic ultrasound-guided microwave ablation is safe,mini-invasive and efficacious for giant hepatic hemangioma.

关 键 词：肝血管瘤 微波消融 腹腔镜 术中超声 

分 类 号：R735.7[医药卫生—肿瘤]