摘要
目的:目的:探讨腹腔镜下右半肝切除的可行性及手术要点。方法:回顾性分析1例腹腔镜下右半肝切除术患者的基本临床资料,包括术前增强CT、术前三维重建、术中难点及处理对策、术后恢复情况等。结果:手术顺利,手术时间6h,术中出血约200mL;患者术后恢复良好,无并发症发生,术后7d出院。结论:拥有娴熟的腹腔镜下操作技术是完成右半肝切除术的首要条件;掌握好手术适应证,选择性地开展腹腔镜下右半肝切除术是安全、可行的。
Ojective:To investigate the Feasibility and key points of laparoscopic right hemihepatectomy.Methods:Retrospective analysis on a case of patient undergoing laparoscopic right hemihepatectomy,including preoperative enhanced CT, preoperative 3D reconstruction,intraoperative difficulties and management strategies, postoperative recovery and so on.Results:The operation was successful, no serious complications occurred, the operative timewas 9h, and the intraoperative bleeding was about 200ml. The patients recovered quickly without complications, and the patients were hospitalized after 7days.Conclusion:Expert laparoscopic technique is a prerequisite for right hemihepatectomy, It is safe and feasible to grasp the indication of operation and carry out laparoscopic right hemihepatectomy selectively.
作者
任建军
张俊晶
牛建祥
乔建梁
靳君华
李军
温波
杨景瑞
周江
张乾
王家兴
REN Jian jun;ZHANG Jun-jing;NIU Jian-xiang(Affiliated hospital of Inner Mongolia medical university,IHohhot 010050,China)
出处
《疾病监测与控制》
2019年第2期133-137,165,共6页
Journal of Diseases Monitor and Control
基金
内蒙古医科大学2017年度教育教学改革立项项目(NYJXGG2017127)
内蒙古医科大学教坛新秀项目(NYJTXX201812)
内蒙古医科大学附属医院重大科研项目(NYFY ZD 003)
内蒙古自治区自然科学基金项目(2017MS0834)
关键词
肝右叶巨大血管瘤
腹腔镜下右半肝切除术
病例报告
giant hemangioma of right lobe of liver
laparoscopic right hemihepatectomy
case-reporting
