实用医学杂志2012，Vol.28Issue(15)：2561-2562,2.DOI:10.3969/j.issn.1006-5725.2012.15.035
腹腔镜肝叶切除术治疗肝脏肿瘤的研究
Study of laparoscopic hepatectomy for liver tumors
摘要
Abstract
Objective To evaluate the safety and feasibility of laparoscopic hepatectomy for the treatment of liver tumors. Methods 18 patients who received laparoscopic hepatectomy from June 2008 to June 2011 at our hospital were evaluated retrospectively. Operation indication, skill, efficacy and prognosis of these cases were analyzed. Results 17 patients underwent laparoscopic hepatectomy (12 total laparoscopic and 5 handassisted laparoscopic) and 1 case converted to open surgery during operation. 8 patients with benign lesions and 10 cases with malignant lesions. The lesions were located in segments Ⅱ - Ⅲ (n = 17), Ⅳ (n = 1). Tumor size ranged from 1.5 cm to 8.5 cm. The resection manner included left lateral sectionectomy (n = 17) and left intrahepatic sectionectomy (n = 1). The average operating time was 110 minutes (55 - 210 minutes), and the average hospitalized time was 10.3 days (8-13 days). 1 case of bile leakage and 3 cases of hepatic dysfunction occurred after operation. 4 patients discharged from hospital in good condition after corresponding treatments. Conclusion Individualized laparoscopic hepatectomy are secure and feasible based on carefully evaluation benign or malignant liver tumors, may replace open resection with experience accumulation.关键词
肝肿瘤/肝叶切除/腹腔镜手术Key words
Liver neoplasms/ Hepatectomy/ Laparoscopic surgery引用本文复制引用
李思荣,卢钦荣,吴青松..腹腔镜肝叶切除术治疗肝脏肿瘤的研究[J].实用医学杂志,2012,28(15):2561-2562,2.
