中德临床肿瘤学杂志（英文版）2012，Vol.11Issue(5)：257-260,4.DOI:10.1007/s10330-012-0956-2
Laparoscopic hepatectomy for liver neoplasms in 15 cases
Laparoscopic hepatectomy for liver neoplasms in 15 cases
Dongfang Huang 1Guofeng Chen 1Ping Wang 1Gang Xu 1Yong Sun 1Yong Cai 1Jinsheng Wu 1Jianhuai Zhang 1Shaochuang Wang 1Lei Liu 1Fuzhen Qi 1Dianhua Gu 1Yebo Wang 1Ling Liu1
作者信息
- 1. Department of Hepatobiliary Surgery, Huai'an No. 1 Hospital, Nanjing Medical University, Huai'an 223300, China
- 折叠
摘要
Abstract
Objective: The aim of our study was to retrospectively analyze 15 patients' clinical materials with laparoscopic resection of liver neoplasms. Methods: From December 2007, a total of 15 patients with liver neoplasms were performed with laparoscopic hepatectomy, and their clinical materials, perioperative dates, postoperative complications, postoperative recovery and short-term curative effects were analyzed and summarized respectively. Results: Laparoscopic hepatectomy (LH) were performed in 15 patients, including 1 case underwent laparoscopic hepatic left lobectomy, 1 case of left lateral hepatectomy, 13 cases of partial liver resection. Fourteen cases of total laparoscopic liver resections for liver neoplasms, 1 case of hand-assisted laparoscopic liver resection of the tumor, there was no conversion to open approach. Of the 15 patients with liver neoplasms, 13 cases of hepatic neoplasms with the maximum diameter was 8 cm x 8 cm × 9 cm, 9 cases of the bor-derline micro hepatocellular carcinoma (MHCC) with the diameter not more than 2 cm, 3 cases of hepatic benign tumor. The mean operation time was (120 ± 30) min, and the intraoperative average hemorrhage was 100 mL, beginning to eat and get out of bed following 1–2 days of operation. The average postoperative hospitalization was 8 days, WBC, ALT, AST, albumin, bilirubin returned to normal after one week of operation. There were no postoperative complications such as hemorrhage, bile leakage or air embolism etc. Twelve patients with HCC were confirmed by postoperative pathology, 1 case of liver smooth muscle lipoma, 2 case of hepatic hemangioma. By one year of followed-up in 12 cases of HCC, the longest survival was 38 months, and no recurrence or death, 1 year survival rate was 100%. Conclusion: Among the choice of cases, the advantages of LH for liver neoplasms compared with open surgery were less trauma, faster recovery and less blood loss. it is safe and effective for choosing a reasonable surgical indication, especially for peripheral micro hepatocellular carcinoma.关键词
hepatectomy/laparoscope/liver neoplasmsKey words
hepatectomy/laparoscope/liver neoplasms引用本文复制引用
Dongfang Huang,Guofeng Chen,Ping Wang,Gang Xu,Yong Sun,Yong Cai ,Jinsheng Wu,Jianhuai Zhang,Shaochuang Wang,Lei Liu,Fuzhen Qi,Dianhua Gu,Yebo Wang,Ling Liu..Laparoscopic hepatectomy for liver neoplasms in 15 cases [J].中德临床肿瘤学杂志（英文版）,2012,11(5):257-260,4.
