腹腔镜下肝切除的临床研究

Clinical application of laparoscopic hepatectomy

目的:探讨总结腹腔镜肝切除术的临床应用体会。方法:回顾分析广东省人民医院肝胆外科室2007年9月至2009年12月在全气腹条件下行腹腔镜肝切除术23例,其中15例行肝局部切除术,7例行肝左外叶切除术。结果:23例成功地在完全腹腔镜下完成手术,平均手术时间120min,平均出血量140mL,术后未发生严重并发症,术后平均住院9.4d。术后随访无局部复发或腹壁戳孔种植性转移。结论:在掌握好适应证的前提下,腹腔镜肝切除术是安全可行的,有较高的临床应用价值。

Objective To investigate the experience of clinical application of laparoscopic hepatectomy. Methods A retrospective analysis was performed based on the clinical data of 23 patients received laparoscopic hepatectomy from Sep 2007 to Dec 2009,including 15 cases of partial or segment hepatectomy and 7 cases of left lateral hepatectomy. Results All the 23 cases were performed successfully. The mean operation time was 120 min,mean blood loss was 140 mL,and mean hospitalization time was 9.4 d. No serious complications were found,and no recurrence was found during the follow-up. Conclusion Laparoscopic hepatectomy is safe and feasible and has a high clinical value under the premise of mastering indications.