CAJ | 학술논문

目的探讨腹腔镜下右半肝切除治疗肝内胆管结石的可行性、安全性.方法回顾性分析3例腹腔镜下右半肝切除术患者的临床资料、手术操作要点及治疗效果.结果 3例患者2例成功,手术时间分别为340 min和300 min,出血量分别为800 ml和400 ml,均未输血.2例患者术后均有少量胆漏(30～60ml/d),4～8 d胆漏自行停止,6～10 d后拔除引流管.术后住院分别为9d和11d.另1例因断肝过程出血明显而中转开腹,中转开腹前出血量约600ml.3例患者术后恢复均顺利.结论腹腔镜下右半肝切除治疗肝内胆管结石是安全可行的.
목적 탐토복강경하우반간절제치료간내담관결석적가행성、안전성.방법 회고성분석3례복강경하우반간절제술환자적림상자료、수술조작요점급치료효과.결과 3례환자2례성공,수술시간분별위340 min화300 min,출혈량분별위800 ml화400 ml,균미수혈.2례환자술후균유소량담루(30～60ml/d),4～8 d담루자행정지,6～10 d후발제인류관.술후주원분별위9d화11d.령1례인단간과정출혈명현이중전개복,중전개복전출혈량약600ml.3례환자술후회복균순리.결론 복강경하우반간절제치료간내담관결석시안전가행적.
Objective To evaluate the safety and feasibility of laparoscopic right hemi-hepatectomy for hepatolithiasis.Methods The clinical data of 3 patients who underwent laparoscopic right hemi-hepatectomy were analyzed retrospectively.Results In 2 patients the operation was performed successfully.The operative time was 340 min and 300 min,and the intraoperative blood loss was 800 ml and 400 ml.There was no need for blood transfusion.There was a small amount of bile leakage (30-60 ml/day) in these 2 patients.The postoperative hospital stay was 9 d and 11 d.The third patient was converted to open surgery because of profuse bleeding.All the 3 patients recovered well from surgery.Conclusions Total laparoscopic right hemi-hepatectomy for hepatolithiasis was safe and feasible.