腹腔镜蒂横断式肝右后区切除术治疗肝细胞癌16例分析

Laparoscopic right posterior liver resection for hepatocellular carcinoma with right hepatic Glisson pedicle transection,a report of 16 cases

目的探讨全腹腔镜下肝右后区切除术治疗肝细胞癌的安全性和可行性。方法回顾性分析2014年4月至2018年9月佛山市第一人民医院收治并行腹腔镜蒂横断式肝右后区切除的16例肝细胞癌患者的临床资料。结果14例成功完成全腹腔镜下肝切除术,2例中转开腹。手术时间(378±65)min,术中出血(500±287)ml,2例患者术中输浓缩红细胞2 U,其余病例无术中输血,术后中位住院时间8 d,无围手术期死亡病例。全腹腔镜手术组术后中位随访时间22个月,1例患者术后1年肝癌复发接受再次手术切除。结论全腹腔镜下蒂横断式肝右后区切除治疗肝细胞癌是安全可行的术式。

Objective To explore the safety and efficacy of totally laparoscopic right posterior liver resection for hepatocellular carcinoma(HCC).Methods The clinical data of 16 HCC patients undergoing laparoscopic right posterior liver resection at the First People's Hospital of Foshan between Apr 2014 and Sep 2018 was retrospectively analyzed.Results 14 out of the 16 cases,underwent totally laparoscopic right posterior liver resection by right hepatic Glisson pedicle transection,2 were converted to open surgery.The operation time was(378±65)min,blood loss was(500±287)ml.There was no transfusion except for 2 cases.The median hospital stay after operation was 8 days.There was no mortality.With the median follow up period of 22 months(range 1 to 54 months).Tumor recurrence was found in one case.Conclusion Laparoscopic Glisson's pedicle transection for right posterior liver resection for hepatocellular carcinoma was safe and effective.