CAJ | 학술논문

目的探讨腹腔镜肝血管瘤剜除术的可行性和疗效.方法回顾性分析2003年11月至2009年10月进行的27例腹腔镜肝血管瘤剜除术病例资料.肝门阻断采用自制的肝门阻断器或进行半肝阻断,使用电刀、超声刀等进行切除.结果 25例成功完成手术,2例因大出血中转开腹手术,中转率为7.4%.无病死病例,无术后并发症.肿瘤大小为(6.34±2.17)cm,手术时间为(105.21±72.76)min,肝门阻断时间为(10.17±12.21)min.术中出血量为(115.5±212.14)ml,术中输红细胞(0.87±1.45)U,术后引流量为(112.60±201.03)ml.术后恢复活动时间(2.0±0.8)d,术后住院时间为(5.5±2.4)d.总住院时间(12.5±5.3)d,总住院费用为(10041.6±8678.7)元.结论选择合适的病例,掌握肝门阻断技术,腹腔镜肝血管瘤剜除术是安全、可行的.
목적 탐토복강경간혈관류완제술적가행성화료효.방법 회고성분석2003년11월지2009년10월진행적27례복강경간혈관류완제술병례자료.간문조단채용자제적간문조단기혹진행반간조단,사용전도、초성도등진행절제.결과 25례성공완성수술,2례인대출혈중전개복수술,중전솔위7.4%.무병사병례,무술후병발증.종류대소위(6.34±2.17)cm,수술시간위(105.21±72.76)min,간문조단시간위(10.17±12.21)min.술중출혈량위(115.5±212.14)ml,술중수홍세포(0.87±1.45)U,술후인류량위(112.60±201.03)ml.술후회복활동시간(2.0±0.8)d,술후주원시간위(5.5±2.4)d.총주원시간(12.5±5.3)d,총주원비용위(10041.6±8678.7)원.결론 선택합괄적병례,장악간문조단기술,복강경간혈관류완제술시안전、가행적.
Objective To evaluate the feasibility and efficacy of laparoscopic treatment of hepatic hemangioma. Methods The clinical data of 27 patients who received laparoscopic treatment of hepatic hemangioma from November 2003 to October 2009 were retrospectively analyzed. The hepatic inflow to the liver or to a hemiliver was temporarily blocked using a Pringle manoeuvre with a self-invented laparoscopic blocker at the porta hepatis or at the pedicle to the relevant hemiliver. The Electriccautery and ultracision were used for liver transaction. Results Laparoscopic treatment of hepatic hemangioma was successfully performed in 25 patients. Conversion to laparotomy was required in two (8%) patients for uncontrollable bleeding. There were no major postoperative complications and no mortality. The mean tumor diameter was (6.34±2. 17) cm. The operating time was ( 105.21 ±72.76)min. The time of hepatic inflow block was (10. 17±12. 21)min. The blood loss was (115. 5±212.14)ml. The volume of blood transfusion was (0. 87 ± 1.45)U. The volume of postoperative drainage was (112.60±201.03)ml. The time taken to return to normal activity was (2. 0±0. 8) days.The length of postoperative hospital stay was (5.5±2.4) days. The length of total hospital stay was (12. 5 ±5.3) days. The total cost was RMB10041.6±8678. 7. Conclusion In selected patients, laparoscopic treatment of hepatic hemangioma was safe and feasible.