CAJ | 학술논문

目的探讨腹腔镜肝癌切除术的可行性及疗效.方法对2002年11月至2007年6月行完全腹腔镜下肝癌切除术的61例患者进行可行性及疗效分析,其中男性49例,女性12例,年龄14～71岁,平均46.7岁.所有病例均经B超、CT或磁共振成像及甲胎蛋白(AFP)等诊断为原发性肝癌.结果其中有56例患者腹腔镜肝癌切除术获得成功,5例因术中出血中转开腹肝癌切除术.腹腔镜肝癌切除术手术时间30～150 min,平均60 min,术中出血量100～2000 ml,平均450 ml.术中阻断肝门15～30 min,平均20 min,术后无并发症发生.术后24 h均能下床活动,术后1～3 d即能进食.术后住院5～10 d,平均6.6 d.结论对位于肝脏边缘、右肝表面或左半肝的恶性肿瘤,采用肝门阻断器阻断肝门后行腹腔镜肝癌切除是可行和安全的.
목적 탐토복강경간암절제술적가행성급료효.방법 대2002년11월지2007년6월행완전복강경하간암절제술적61례환자진행가행성급료효분석,기중남성49례,녀성12례,년령14～71세,평균46.7세.소유병례균경B초、CT혹자공진성상급갑태단백(AFP)등진단위원발성간암.결과 기중유56례환자복강경간암절제술획득성공,5례인술중출혈중전개복간암절제술.복강경간암절제술수술시간30～150 min,평균60 min,술중출혈량100～2000 ml,평균450 ml.술중조단간문15～30 min,평균20 min,술후무병발증발생.술후24 h균능하상활동,술후1～3 d즉능진식.술후주원5～10 d,평균6.6 d.결론 대위우간장변연、우간표면혹좌반간적악성종류,채용간문조단기조단간문후행복강경간암절제시가행화안전적.
Objective To explore the feasibility and the effect of laparoseopic hepatectomy for primary liver cancer(PLC).Methods A retrospective study on 61 cases of laparoscopic hepatectomy for PLC was made between November 2002 and June 2007,among which there were 49 male and 12 female,aged from 14 to 71 years.All patients were diagnosed as PLC by type-B ultrasonic,CT or MRI,and APF.Results Fifty-six patients were completed laparoscopically successfully.Five cases underwent conversion to open operation because of hemorrhage.The mean operative time was 60 min(30-150 min).The mean bloodloss was 450 ml(100-2000 ml).The mean hepatic portal block time was 20 min(15-30 min).All the patients had excellent recovery without any postoperative surgical complications.The patients were mobilized out of the bed in 24 hours.Oral intake of food started in 1 to 3 days.The average postoperative hospital stay was 6.6 d(5-10 d).Conclusion Laparoscopic hepatectomy for PLC is safe and feasible by using hepatic portal block instrument.