完全腹腔镜下Glisson蒂横断式左肝外叶切除16例报告

Glissonean Pedicle Transection Method for Laparoscopic Left Lateral Hepatic Lobectomy:A Report of 16 Cases

目的报告Glisson蒂横断式肝切除法在完全腹腔镜下左肝外叶切除术中的应用体会。方法对2010年7月至2012年5月南昌大学第二附属医院肝胆外科完成的16例完全腹腔镜下Glisson蒂横断式左肝外叶切除术病例的临床资料进行分析。结果 16例病例均按Glisson蒂横断式肝切除法行完全腹腔镜下解剖性左肝外叶切除术,手术均获得成功,无中转开腹病例,平均手术时间100(90～120)min,术中平均出血量50(10～100)mL,术中均未输血,术后恢复顺利,无术后并发症。结论采用Glisson蒂横断式肝切除法进行完全腹腔镜下的左肝外叶切除,将使手术变得简便、安全。

Objective To evaluate the surgical application of glissonean pedicle transection method(GPTM) in laparoscopic left lateral hepatic lobectomy.Methods Clinical data of 16 patients who underwent laparoscopic left lateral hepatic lobectomy with GPTM between July 2010 and May 2012 were analyzed.Results All operations were completed successfully without blood transfusion and postoperative complications,and no patients were converted to open hepatectomy.The mean operative time was 100 minutes(range,90-120 minutes).The mean blood loss was 50 mL(range,10-100 mL).All patients achieved good postoperative recovery.Conclusion Glissonean pedicle transection method is feasible and safe for laparoscopic left lateral hepatic lobectomy.