电视腹腔镜技术在原发性肝癌治疗中的应用

LAPAROSCOPIC TREATMENT OF PRIMARY LIVER CARCINOMA

应用腹腔镜技术治疗原发性肝癌伴肝硬化50例。手术类型：腹腔镜肝癌切除术2例，肝癌微波固化术5例，门静脉插管术5例，肝动脉结扎＋门静脉插管术34例，门静脉插管＋肝动脉插管术4例。腹腔镜肝癌切除术的近期效果良好，病人所受手术创伤打击小，并发症少，术后恢复快，可立即接受后续治疗，长期效果有待观察。对晚期不能切除的原发性肝癌，可选择腹腔镜微波固化，或腹腔镜肝动脉结扎或肝动脉插管和／或腹腔镜门静脉插管术，以达到姑息治疗的目的。

Fifty primary liver carcinoma patients were treated with laparoscopic operation. The 0peration modes included:two cases laparoscopic hepatectomy; five cases mlcrowave coagulo-necrotic therapy; five cases portal vein catheteriza tion; 34 cases hepatic artery ligation plus portal vein catheterization; four cases portal vein catheterization p1us hepatic artery catheterization. Laparoscopic hepatectomy was found to produce better results with less operative trauma, few er complications, and faster post-operative recovery so that patients can accept secondary treatment quickly. For pal liative treatment of advanced unresectable primary liver carcinoma, laparoscopic microwave coagulo-necrotic therapy,hepatic artery ligation, or hepatic artery catheterization and/or portal vein catheterization are the best choices.