腹腔镜肝切除术5例报告

Laparoscopic liver resection: A report of 5 cases

目的 探讨腹腔镜肝切除的可行性和适应证。 方法 2 0 0 2年 4月～ 2 0 0 3年 4月 ,腹腔镜下对 5例位于肝脏左外叶的小肝癌进行切除 ,End -vascularGIA在肿瘤右侧横断肝脏实质 ,切下的肝组织连同肿瘤组织一同从扩大的切口取出。结果 3例腹腔镜肝切除术成功 ,2例因分离过程中出血或肝组织太厚中转开腹。腹腔镜下切除的肝脏创面 ,无渗出 ,无胆漏。手术时间 6 0～ 90min。术后 3～ 5d出院。无并发症。 结论 腹腔镜可切除肝脏左外叶的肿瘤。

Objective To investigate the feasibility and indications of laparoscopic liver resection. Methods Five patients with small hepatocellular carcinoma in the left lateral lobe underwent laparoscopic liver resection from April 2002 to April 2003. The Endo-vascular GIA was employed to transect the liver parenchyma from the right side of the lesion. The resected liver tissues and tumor were removed via the prolonged incision. Results Laparoscopic hepatectomy was successfully accomplished in 3 cases, while conversions to open surgery were required in 2 cases because of severe hemorrhage or excessive thickness of resecting marge. There were no exudation or bile leakage on the cut surface of laparoscopic hepatectomy. The length of duration of laparoscopic hepatectomy ranged from 60 min to 90 min. The patients were dismissed 3～5 days after the surgery. No complications occurred. Conclusions Liver tumor in the left lateral lobe can be removed laparoscopically.