腹腔镜肝切除治疗肝血管瘤的临床研究

The clinical study of laparoscopic hepatectomy for hepatic hemangioma

目的探讨腹腔镜肝切除治疗肝血管瘤的可行性及临床疗效。方法对8例肝血管瘤患者行腹腔镜肝切除治疗,腹腔镜肝左外叶切除4例,腹腔镜肝段或局部切除4例,其中2例合并胆囊结石同时切除胆囊。结果手术均获成功,手术时间(175±13)min,失血量(265±23)mL,术后肺部感染1例,术后住院时间(8.25±0.8)d。术后无胆漏、出血等严重并发症发生,术后随访6～20个月无复发。结论在严格控制手术指征、由经验丰富的外科医生操作的前提下,腹腔镜肝切除治疗肝血管瘤是安全可行的。

Objective To explore the clinical effect and feasibility of laparoscopic hepatectomy for hepatic hemangioma.Methods8 patients were treated by laparoscopic hepatectomy, including left lateral lobectomy in 4 cases and local liver resection in 4 cases. Two cases of hepatic hemangioma associated with gallbladder stone were performed cholecystectomy synchronously. ResultsLaparoscopic procedures were successfully performed in all 8 cases. The operative time was （175±23）min. The blood loss was （265±12）mL. The postoperative hospital stay was （8.25±0.8） days. The postoperative recovery was smooth except that 1 case had pulmonary infection. During a follow-up of 6～20 months for 8 cases, there were no recurrence.ConclusionLa-paroscopic hepatectomy for hepatic hemangioma is safe and feasibile with good effect under the condition of strict indication selection and experienced surgeons operating.