全腹腔镜肝切除术在治疗肝脏肿瘤中的应用价值

全腹腔镜肝切除术在治疗肝脏肿瘤中的应用价值

原春辉;修典荣;贾易木;熊京伟;张同琳

【期刊名称】《中华外科杂志》

【年(卷),期】2013(051)009

【摘要】Objective T o explore the clinical application technology of completely laparoscopy hepodectomy (LH).Methods From June 2006 to December 2011,the 126 cases of LH were performed,the data including operating time,blood loss and postoperative complications,etc,were analyzed retrospectively.The patients included 87 males and 39 female and they were 28-83 years old with an average age of 44.5 years old.The parenchyma was transected using laparoscopic ultrasonic scalpel and ligasure,accomplished with endoscopic linear stapler.Of all the patients,the diseases performed LH including primary liver carcinoma (45 cases),liver hemoangioma (58 cases),colon carcinoma with livermetastasis (23 cases),liver focar (5 cases),liver granuloma (1 case),liver adenoma (4 cases).The operations included left hemihepatectomy (n =17),left lateral lobectomy (n =34),right hemihepatectomy (n =15),segmentectomy (n =22),local resection (n =59).Results Of all the patients,mean blood loss was 180 ml (10-1250 ml),mean surgical time was 142 minutes (43-220 minutes),mean postoperative hospital day was 2.2 days (3-12 days).Postoperative complications including eight cases of bile leakage,recovered after 1-3