腹腔镜肝切除术的临床分析(附5例报告)

The study of laparoscopic liver resection:a report of 5 cases

目的：探讨腹腔镜肝切除术的可行性。方法：2004年11月～2005年1月我院行完全腹腔镜肝切除5例，其中转移性肝癌2例，肝血管瘤3例。肝功能Child分级A级。结果：5例均在腹腔镜下完成肝局部切除术。手术时间45～280min．平均143min。出血量50～800ml，平均402ml。输血量0-600ml，平均175ml。术后恢复顺利，术后住院时间2～9d，平均5．6d。结论：腹腔镜肝切除术安全可行，不仅适于肝良性肿瘤，也为肝脏恶性肿瘤提供了切除肿瘤的新途径。

Objective：To explore the feasibility of laparoscopic liver resection. Methods：Total laparoscopic liver resections were performed in 5 patients between November 2004 and January 2006, including 2 cases of metastatic liver carcinoma,3 cases of liver- hemangioma. According to the Child classification 5 cases fell into ＂ Class A＂. Results： Laparoscopic procedures were completed successfully. The operative time was 45-280min（ mean 143min）. The blood loss was 50-800ml （mean 402ml）. The amount of blood transfusion was 0-600ml （mean 175 ml）. Postoperative recovery was uneventfully, with a hospitalization of 2-9d （mean 5.6d）. Conclusions： Laparoscopic liver resection is a safe and feasible procedure. It may be reserved for both benign and malignant tumors in selected cases.