腹腔镜下Ligasure刀肝癌切除术

Application of Ligasure vessel sealing instrument in laparoscopic hepatectomy for liver cancer

目的对腹腔镜下Ligasure刀肝癌切除术的适应症和疗效进行探讨。方法对11例进行了腹腔镜下Ligasure刀肝癌切除术的患者的肿瘤大小和部位,手术时间,出血量,术后住院日,近期疗效进行总结和分析。结果 11例手术全部成功,全部肿瘤小于7cm:其中小于3cm的4例,3～5cm的4例,5～7cm的3例。肿瘤分别位于第Ⅱ、Ⅲ、Ⅴ、Ⅵ、Ⅶ肝段。平均手术时间92min(80～126min),术中平均出血81ml(20～200ml),平均术后住院日8d(7～9d),全部病例术后第1天肠功能恢复并进食,全组无手术后并发症,全部康复出院。结论腹腔镜下Ligasure刀肝癌切除术适用于周边型的肝癌的切除,具有操作简便,出血少,创伤小,术后恢复快,安全效好的优点。

Objective To investigate the indication and effect of the application of Ligasure vessel sealing instrument in laparoscopic hepatectomy for liver cancer. Methods Eleven patients with liver cancer undergoing laparoscopic hepatectomy were analyzed for the tumor size and location, operation time, volume of intraoperative bleeding, postoperative hospital stay and short-term clinical outcomes. Results All the operations were performed successfully in the 11 cases. All the tumors were less than 7 cm in diameter, locating at the segments II, III, V, VI and VII. The mean operation time was 91 min （80-126 min）, and the intraoperative blood loss averaged 82 ml （20-200 ml）. The average postoperative hospital stay of the patients was 8 days （7-9 days）. No complications were observed in these cases. Conclusion Ligasure vessel sealing instrument in laparoscopic hepatectomy is applicable in cases of perimeter liver cancer. This instrument can decrease the operation time, reduce the intraoperative blood loss and postoperative hospital stay with good safety and minimal invasiveness.