摘要
目的:探讨复发性肝癌行腹腔镜再切除的可行性和适应证。方法:回顾性分析我科2014年1月至2015年11月期间收治的11例复发肝癌患者行腹腔镜再切除的临床资料,其中复发肿瘤位于同侧者5例,位于对侧者6例。结果:所有患者均顺利完成手术,其中9例完全腹腔镜下手术,2例中转开腹,中转开腹者均为同侧复发组病例,所有患者术后无严重并发症发生。其中行腹腔镜手术患者手术时间(145.0±30.9)min,术中失血量(150.0±45.5)ml,住院天数(6.8±2.2)天。结论:在严格把握手术适应证的前提下,复发性肝癌行腹腔镜再切除是安全、可行的。
ObjectiveTo explore the feasibility and indication of laparoscopic resection of recurrent hepatocellular carcinoma. Methods ： Retrospective analysis of 11 cases of HCC recurrence patients undergoing laparoscopic excision of the clinical data was performed. Recurrent tumors located in the same side in 5 cases and 6 cases in the contralater-al side. Results ： All patients were successfully completed surgery. Among them,9 cases underwent complete laparo-scopic operation and 2 cases converted to open surgery. No serious postoperative complications occurred in all pa-tients. Laparoscopic surgery in which the operation time was （ 145. 0 ± 30. 9） min. Intraoperative blood loss was （ 150. 0 ±45. 5）ml. Hospital days were （ 6. 8 ±2. 2） days. Conclusion：Under the premise of strictly grasping the indications of surgery, laparoscopic resection of recurrent hepatocellular carcinoma is safe and feasible.
出处
《现代肿瘤医学》
CAS
2017年第10期1578-1580,共3页
Journal of Modern Oncology
关键词
腹腔镜
复发性肝癌
治疗
laparoscope,recurrent hepatocellular carcinoma,treatment
