腹腔镜肝肿瘤切除术的临床应用(附36例报告)

Clinical application of laparoscopic hepatectomy for liver neoplasms:with a report of 36 cases

目的:探讨腹腔镜肝肿瘤切除术的可行性。方法:回顾分析2011年4月至2013年1月为36例患者行腹腔镜肝肿瘤切除术的临床资料。结果:36例手术均获成功,无一例中转开腹。手术时间平均(143±51)min,术中出血量平均(173±43)ml,术中、术后均未输血,术后无出血、胆漏、感染等并发症发生,术后第1天即拔除胃管,予以试饮水,第2天开始进食,术后平均住院(13.8±2.6)d;随访2～12个月,无一例复发。结论:位于肝左外叶、右肝表面或下缘的肿瘤行腹腔镜肝肿瘤切除术是安全、可行的,可获得满意的近期疗效。

Objective：To discuss the practicality of laparoscopic hepatectomy for treating hepatic neoplasm. Methods：The ret- rospective analysis was made on the clinical data of 36 cases of laparoscopic hepatectomy for hepatic neoplasm performed between Apr. 2011 and Jan. 2013. Results：All the 36 operations were successful. There was no conversion to open technique. The average operation time was （143 ± 51 ） min. The average hemorrhage was （173 ± 43 ） ml. There was no need for transfusion of blood, no bleeding, bile leakage or infection was found after operation. The gastric tube was removed and sipping water was ordered in the first day after the op- eration, liquid diet was ordered in the second day. The average postoperative hospital stay was （13.8 ± 2.6） d. There was no recurrence in the 2 to 12 months following-up. Conclusions：Laparoscopic hepatectomy is a safe and feasible method for the hepatic neoplasm of left lateral liver, on the surface and inferior edge of right hepatic lobe with excellent short-term effect.