摘要
目的探讨单孔腹腔镜行BISMUTH Ⅰ型肝门胆管癌切除的安全性和可行性。方法回顾性总结和分析2例行经脐单孔腹腔镜BISMUTHⅠ型肝门胆管癌切除患者的术前、术中和术后情况。结果 2例患者均成功完成手术,手术时间分别为300min和350min;术中出血量为200ml和350ml;术后住院日分别为6d和9d。术后病理切除标本切缘肿瘤细胞阴性。1例术后出现胆汁漏,持续6d后闭合。患者对切口满意度高。结论在严格选择患者的基础上,单孔腹腔镜BISMUTHⅠ型肝门胆管癌切除术是安全和可行的,需要进一步的临床、随机、对照试验评价其临床应用价值。
Objective:To investigate the safety and feasibility of single-incision laparoscopic resection of Bismuth I hilar cholangiocarcinoma. Methods:Two cases with Bismuth I cholangiocarcinoma were chosen for the laparoscopic surgery. Segmental bile duct resection and hepatoduodenal ligament lymphadenectomy were performed using single-incision laparoscopic technique with conventional instruments. Results:Two operations were successfully performed without conversion. The operation time was 300 and 350 minutes, respectively. The margins of proximal and distal bile ducts were negative. The hospital stay was 6 and 9 days, respectively. The abdominal wound recovered very well with good cosmesis. Conclusions:Single-incision laparoscopic surgery cholangiocarcinoma resection can be optional in strictly selected patients with Bismuth I cholangiocarcinoma. Long-term follow-up and more data are needed to evaluate its benefits.
出处
《中华普通外科学文献(电子版)》
2013年第2期50-53,共4页
Chinese Archives of General Surgery(Electronic Edition)