腹腔镜肝脏切除术  

Laparoscopic hepatectomy

作　　者：蔡秀军[1] 梁霄[1] 吴胜东[1] 黄迪宇[1] 虞洪[1] 王先法[1] 黄海[1] 李立波[1] 彭淑牖[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院普外科,杭州310016

出　　处：《中国实用外科杂志》2003年第2期90-92,共3页Chinese Journal of Practical Surgery

摘　　要：目的　介绍采用刮吸法断肝技术成功施行 13例腹腔镜肝脏切除手术的经验和体会。方法　采用多功能手术解剖器 (PMOD)来实施刮吸法断肝技术行腹腔镜下肝脏切除术。结果　连续 13例手术均成功 ,无中转开腹手术 ,无并发症发生。手术时间平均 10 8min ,术中出血量平均 4 6 9mL ;切除肝脏体积最大的为 10cm× 9cm×7cm。术后 2 4h均能下床活动 ,术后 1周出院。结论　刮吸法断肝技术应用于腹腔镜下肝脏切除术具有解剖清晰 ,能显露肝内管道结构 ,切肝速度快 ,止血效果佳 ,边操作边吸引 ,保持术野清晰 ,较其它切肝方法优越 ,是理想的腹腔镜下切肝方法 ,多功能手术解剖器是理想的切肝工具。Objective\ In this study,we used a new technique for laparoscopic hepatectomy-liver transection by curettage and aspiration(LTCA).Methods\ We used Peng's multifunctional operative dissector(PMOD)to perform laparoscopic liver transection by curettage and aspiration,and finished thirteen segmentectomies successfully.Results\ All procedures were smooth,patients recovered well with no complication.Mean operative time was 108 minutes,the mean bleeding volume was 469mL,the largest excised liver size was 10cm×9cm×7cm.They could walk one day later and were discharged one week later.Conclusion\ The new technique-LTCA can be used in laparoscopic hepatectomy,it has the advantages of clear anatomy,good exposure of canal constuction,rapid liver transection,satisfied hemostasis and clear operative field,it is better than other methods,and PMOD is an optimal tool to perform laparoscopic hepatectomy.

关 键 词：腹腔镜 肝脏切除术 刮吸法断肝术 多功能手术解剖器 腹腔镜肝脏切除 

分 类 号：R657.3[医药卫生—外科学]