腹腔镜手术治疗肝破裂17例报告

Application of laparoscopy in treatment of liver injury

目的:探讨腹腔镜治疗肝破裂的手术方法及应用价值。方法:回顾分析2005年7月至2010年为17例肝破裂患者施行腹腔镜手术的临床资料。结果:17例手术均获成功,手术时间40～180 min,平均(80±19)min。10例术前放置胃管,术后24 h内拔除。术后3～6 d拔除引流管。术后住院4～12 d,平均9.8 d。结论:腹腔镜手术治疗肝破裂切口小,患者康复快,安全可行。

Objective:To investigate the operative experience and application value of laparoscope in treating liver injury.Methods:The clinical data of 17 cases who underwent laparoscopy of liver injury were retrospectively analyzed.Results:17 cases of operation were all performed successfully,the operative time was 40-180 min,the mean time was(80±19) min.10 cases of preoperative place the gastric tube,was pulled out within 24 h.Drainage tube was pulled out during 3-6 d of postoperative.The hospital stay was 4-12 d(mean 9.8 d).Conclusions:Laparoscopye in treating liver injury has the advantage of minimal invasion,rapid recovery,safe and feasible.