腹腔镜经右肾周间隙肝裸区占位切除的可行性研究(附1例报告)

Laparoscopic hepatectomy of bare area of liver tumor through right perirenal space(one case report)

目的探讨经右肾周间隙入路腹腔镜肝裸区占位病变切除的解剖学依据,并分享首例手术的经验和体会。方法 1例结肠癌术后肝左外叶及肝右后叶裸区转移病灶行经右肾周间隙腹腔镜肝裸区占位病灶切除及常规腹腔镜肝左外叶切除术。结果手术时间为5h,出血600mL,手术顺利完成,腹腔放置肝下引流管,无出血等并发症发生。术后12d患者顺利出院。结论经右肾周围间隙可直接到达肝裸区,经此解剖通道腹腔镜肝裸区占位病变切除,有其独特的优越性。

[Objective] To discuss anatomic foundation during laparoscopic hepatectomy of bare area of liver tumor through right perirenal space and to share the initial clinical experience of operation.[Methods] A patient after colon carcinoma resection with metastatic lesion located at the segment Ⅲ and segment Ⅶ,which near to the bare area of the liver,underwent laparoscopic hepatectomy through abdominal and right perirenal space.[Results]The operation was performed successfully.The operative time was 300 minutes.Only one drainage tube was placed under the liver and there were no intraoperative or postoperative complications.The patient was discharged 12 days after operation.[Conclusions] Right perirenal space opens into bare area of liver,the laparoscopic bare area of liver tumor resection through this space has special superiority.