腹腔镜肝脏切除术20例报告  

Laparoscopic hepatectomy:a report of 20 cases

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

机构地区：[1]浙江大学医学院邵逸夫医院普外科,杭州310016

出　　处：《中华普通外科杂志》2004年第2期71-73,共3页Chinese Journal of General Surgery

摘　　要：目的评价刮吸法断肝技术在腹腔镜肝脏切除术中的应用。方法采用多功能手术解剖器 (Peng′smultifunctionaloperativedissector ,PMOD)实施刮吸法断肝技术行腹腔镜下肝脏切除术。结果连续 2 0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 5min ,术中出血量平均 4 2 0ml;切除标本最大体积为 10cm× 9cm× 7cm。患者术后 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 ,术野清晰 ,是理想的腹腔镜下切肝方法。Objective To evaluate the maneuvre of curettage and aspiration(LTCA) in laparoscopic hepatectomy. MethodsWe used Peng′s multifunctional operative dissector(PMOD) to perform laparoscopic liver transection by maneuvre of curettage and aspiration in 20 cases undergoing laparoscopic hepatectomy. Results Procedures were all successful. The recovery was uneventful without any complications. Mean operative time was 105 minutes, the average bleeding volume was 420 ml, the largest excised sample size was 10 cm×9 cm×7 cm. All patients were discharged within one week. ConclusionsThe new technique-LTCA can be used in laparoscopic hepatectomy, it has the advantages of clear anatomy, good exposure of canal construction, rapid liver transection, satisfactory hemostasis and clear operative field.

关 键 词：腹腔镜 肝脏切除术 手术方法 肝癌 

分 类 号：R657.3[医药卫生—外科学]