腹腔镜肝胆胰脾手术137例临床报告

Laparoscopic surgery for hepatobiliary,pancreatic and splenic disease ：a report of 137 cases

目的 探讨腹腔镜下肝、胆、胰、脾外科手术的适应证及方法。方法 施行腹腔镜肝、胆、胰、脾手术137例，其中肝切除42例，胆总管切开取石74例，胰腺假性囊肿手术8例，脾切除13例。结果 123例在完全腹腔镜下手术，13例为腹腔镜辅助手术，1例手助腹腔镜手术。全组均成功完成手术，无严重并发症。结论腹腔镜肝、胆、胰、脾手术拓展了腹腔镜在腹部外科领域中的应用，只要严格掌握手术适应证和操作要领。是安全可行的。

Objective To assess the feasibility and indication of laparoscopic procedure for hepatobiliary - pancreatic-splenic disease. Methods From June 1998 to June 2006, 137 cases of hepatobiliary-pancreatic-splenic laparoscopic operation have been performed. Among them, there were 42 hepatic operations, 74 biliary tract operations, 8 pancreatic operations and 13 splenic operations. Results Of 123 cases performed with complete laparoscopic operation,13 cases received laparoscopic assisted operation and one underwent hand-assisted procedure. All the cases completed sucessfully the laparoscopic procedures without complication. Conclusion The laparoscopic procedure for hepatobiliary-panceratic-splenic disease widens the application in the abdominal surgery, and it is a safe, reliable and minimally invasive procedure as long as we follow the instruction and indication strictly.