摘要
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.
出处
《中国内镜杂志》
CSCD
1997年第5期10-12,共3页
China Journal of Endoscopy
关键词
腹腔镜
原发性
治疗
肝肿瘤
Laparoscopy
Liver neoplasm
Surgical treatment