腹腔镜肝海绵状血管瘤切除7例报道

Laparoscopic resection for liver hemangioma:a report of 7 cases

目的:探讨腹腔镜肝海绵状血管瘤(肝血管瘤)切除的可行性及方法。方法:回顾性分析我院采用超声刀为主要切肝器械,并结合pringle法阻断第一肝门,完成腹腔镜肝血管瘤切除7例。包括局部切除4例,左外叶切除3例。结果:全部顺利完成手术,无中转开腹。手术时间75-225min,(156±47.9)min,术中出血200-1200ml,(460.0±302.5)ml,术后住院时间3-10d,(6.6±3.0)d,除一例出现广泛皮下气肿外,其余病例未发生严重并发症。术后病理均证实为肝海绵状血管瘤。结论:腹腔镜下肝海绵状血管瘤切除对于经选择的病例是安全可行的。

Objective：To evaluate the feasibility and techniques of laparoscopic resection in patients with hepatic hemangioma. Methods ： Seven patients with hepatic hemangioma received laparoscopic hepatectomy by using Ultrasonic Scalpel and pringle＇s maneuver. Among the patients, 4 underwent partial hepatectomy, and 3 received left lateral lobe hepatectomy. Results： The laparoscopic hepatectomy was accomplished successfully in all the patients without converting to open surgery. The mean operation time was 75 -225 min [ mean, （156.0 ± 49.7）mini ;intraoperative blood loss was 200 - 1200 ml [ mean, （460.0 ± 302.5 ） nd ] ; and the postoperative hospital stay was 3 - 10 d[ mean, （6.6 ± 3.0） d ]. No severe complication occurred after the operation except one case happened subcutaneous emphysema. The postoperative pathological examinations showed hepatic hemangioma in all patients. Conclusion： laparoscopic resection in patients with hepatic hemangioma is safe and feasible for selected patients.