Haemangiomas are the most common solitary benign neoplasm of the liver with an incidence ranging from 5% to 20%. Although usually small and asymptomatic, they may reach considerable proportions and rarely give rise to...Haemangiomas are the most common solitary benign neoplasm of the liver with an incidence ranging from 5% to 20%. Although usually small and asymptomatic, they may reach considerable proportions and rarely give rise to life-threatening complications. Surgical intervention is required for incapacitating symptoms, established complications, and diagnostic uncertainty. The resection of haemangiomas demands meticulous surgical technique, owing to their high vascularity and the concomitant risk of intra-operative haemorrhage. Laparoscopic resection of giant haemangiomas is even more challenging, and has only been reported twice. We here report the case of a giant 10 cm liver haemangioma which was successfully resected laparoscopically using the laparoscopic HabibTM 4×, a bipolar radiofrequency device, without clamping major vessels and with minimal blood loss. Transfusion of blood or blood products was not required. The patient had an uneventful recovery and was asymptomatic at 7-mo follow-up.展开更多
目的 ：探讨H abib 4X在腹腔镜肝切除术（LH）中的应用价值。方法：回顾性分析2014年6—12月厦门大学附属成功医院肝胆外科收治的14例因肝脏疾病行LH的患者的临床资料均采用H abibTM4X凝固电极（美国A ngio D ynam ics R ITA医疗系统）...目的 ：探讨H abib 4X在腹腔镜肝切除术（LH）中的应用价值。方法：回顾性分析2014年6—12月厦门大学附属成功医院肝胆外科收治的14例因肝脏疾病行LH的患者的临床资料均采用H abibTM4X凝固电极（美国A ngio D ynam ics R ITA医疗系统）对肝内瘤体行重叠射频消融术,观察术中出血量、手术时间、输血情况、住院时间、术后肝功能恢复情况、术后并发症发生情况。结果：14例患者均在未阻断肝门血管情况下成功完成LH。术中及术后均未行输血治疗,术中平均出血122.86 m L（150~240m L）;平均手术时间122.29 m in（83~160 m in）;术后平均住院天数9.57 d（7~13 d）。所有患者术后恢复良好,术后未发生出血、胆汁漏、肝功能衰竭。结论：在H abib 4X辅助下可安全、有效的行腹腔镜解剖性和非解剖性肝切除,具有一定的临床应用价值。展开更多
文摘Haemangiomas are the most common solitary benign neoplasm of the liver with an incidence ranging from 5% to 20%. Although usually small and asymptomatic, they may reach considerable proportions and rarely give rise to life-threatening complications. Surgical intervention is required for incapacitating symptoms, established complications, and diagnostic uncertainty. The resection of haemangiomas demands meticulous surgical technique, owing to their high vascularity and the concomitant risk of intra-operative haemorrhage. Laparoscopic resection of giant haemangiomas is even more challenging, and has only been reported twice. We here report the case of a giant 10 cm liver haemangioma which was successfully resected laparoscopically using the laparoscopic HabibTM 4×, a bipolar radiofrequency device, without clamping major vessels and with minimal blood loss. Transfusion of blood or blood products was not required. The patient had an uneventful recovery and was asymptomatic at 7-mo follow-up.
文摘目的 ：探讨H abib 4X在腹腔镜肝切除术（LH）中的应用价值。方法：回顾性分析2014年6—12月厦门大学附属成功医院肝胆外科收治的14例因肝脏疾病行LH的患者的临床资料均采用H abibTM4X凝固电极（美国A ngio D ynam ics R ITA医疗系统）对肝内瘤体行重叠射频消融术,观察术中出血量、手术时间、输血情况、住院时间、术后肝功能恢复情况、术后并发症发生情况。结果：14例患者均在未阻断肝门血管情况下成功完成LH。术中及术后均未行输血治疗,术中平均出血122.86 m L（150~240m L）;平均手术时间122.29 m in（83~160 m in）;术后平均住院天数9.57 d（7~13 d）。所有患者术后恢复良好,术后未发生出血、胆汁漏、肝功能衰竭。结论：在H abib 4X辅助下可安全、有效的行腹腔镜解剖性和非解剖性肝切除,具有一定的临床应用价值。
