程序化腹腔镜右半肝切除的临床应用

Laparoscopic right hemihepatectomy following a standardized technique

目的探索程序化腹腔镜右半肝切除的临床应用价值。方法回顾性分析苏州大学附属第一医院15例腹腔镜右半肝切除术患者资料，分析其围手术期各项指标，包括手术时间、出血量、肿瘤直径、住院时间、术后并发症等。结果15例患者均成功完成腹腔镜下右半肝切除术，无一中转开腹。平均手术时间（251．1±73．3）min、肿瘤直径（8．5±4．2）cm、术中出血量（550．8±343．6）ml、平均住院时间（10．2±3．7）d。术后仅有1例患者出现胆漏，其他患者无并发症发生。无围手术期死亡病例。结论程序化腹腔镜右半肝切除步骤规范、简单有效，为缩短手术时间、提高手术安全性起到了积极作用。

Objective To determine the clinical value of laparoscopic right hepatectomy （LRH） carried out following a standardized technique. Methods The medical records of 15 patients who underwent LRH at the First Affiliated Hospital of Soochow University were retrospectively reviewed. The perioperative indicators which included the operation duration, blood loss, tumor diameter, hospitalization duration and postoperative complications were analyzed. Results There was no conversion to open surgery. The opera- tion duration was （251.1 ±73.3） rain. The resected tumor diameter was （8.5 ±4.2） cm, the blood loss was （550.8 ± 343.6） ml, and the hospitalization duration was （10.2 ± 3.7） days. There was one patient who developed postoperative bile leakage. There was no other complication and there was no perioperative death. Conclusions The standardized technique of LRH was easy and effective. This technique shortened the operation duration and improved patient safety.