摘要
目的:探讨腹腔镜左半肝切除模式化手术的可行性及技术难点。方法:选择2013年1月至2017年10月收治的34例左半肝占位患者,均行腹腔镜解剖性左半肝切除术,术中先行入肝血流阻断,再用超声刀、双极电凝等断肝。结果:34例手术均获成功。手术时间平均(164.54±50.32)min,出血量平均(161.67±50.86)mL,无手术并发症发生,术后平均住院(6.30±0.85)d。结论:腹腔镜左半肝切除术的技术越来越成熟,基本上已模式化,可作为治疗左半肝疾病的标准术式。
Objective:To investigate the feasibility of modeled surgery of laparoscopic left hepatectomy.Methods:Candidates for laparoscopic left hepatectomy were 34 patient with left liver occupied.Data were collected from patients who were performed with surgeries by the anatomic laparoscopic left hepatectomy with hepatic blood flow first blocked,then liver was broken with an ultrasound scalpel and a bipolar coagulation,etc.All patients were from the general surgery section between Jan.2013 and Oct.2017.Results:Laparoscopic left hepatectomy was successfully performed in all 34 cases.The mean operation time was(164.54±50.32)min,the mean blood loss was(161.67±50.86)mL,and the mean hospitalization time after surgery was(6.30±0.85)d,no surgical complications occurred.Conclusions:Since laparoscopic left hepatectomy has been practiced for some years,and it has been becoming a mature surgery,it could be concluded that laparoscopic left hepatectomy could be used as a standard surgery for the left liver disease.
作者
刘祖军
蔡小勇
江文枢
黄玉斌
LIU Zu-jun;CAI Xiao-yong;JIANG Wen-shu(Department of General Surgery,Nanning 530021,China;The Second Affiliated Hospital,Guangxi Medical University)
出处
《腹腔镜外科杂志》
2019年第11期805-808,共4页
Journal of Laparoscopic Surgery
