摘要
目的 探讨腹腔镜肝切除治疗肝血管瘤的可行性及安全性.方法 12例肝血管瘤患者中,腹腔镜肝左外叶切除5例,腹腔镜肝段或局部切除7例,其中3例合并胆囊结石同时切除胆囊.结果 手术均获成功,平均手术时间为155 min,术中平均出血量为230 mL,术后肺部感染1例,术后平均住院时间为8 d.术后无胆漏、出血等严重并发症发生,术后随访6～20个月无复发.结论 在严格控制手术指征、由经验丰富的外科医师操作的前提下,行腹腔镜肝切除治疗肝血管瘤安全可行.
Objective To explore feasibility of laparoscopic hepatectomy for hepatic hemangioma.Methods Twelve patients were treated by laparoscopic hepatectomy, including left lateral lobectomy in 5 cases and local liver resection in 7 cases. Three cases of hepatic hemangioma associated with gallbladder stone were performed cholecystectomy synchronously. Results Laparoscopic procedures were successfully performed in all 12 cases. The mean operative time was 155 min. The mean blood loss was 230 mL. The mean postoperative hospital stay was 8 days. The pospostoperative recovery was smooth except that 1 case had pulmonary infection. During a follow-up of 6-20 months for 12 cases,there were no recurrence. Conclusion Laparoscopic hepatectomy for hepatic hemangioma is safe and feasibile with good effect under the condition of strict indication selection and experienced surgeons operating.
出处
《国际外科学杂志》
2011年第4期226-228,共3页
International Journal of Surgery
关键词
腹腔镜
肝切除
肝血管瘤
Laparoscope
Hepatectomy
Hepatic hemangioma
