中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2008年
11期
1152-1154
,共3页
肝切除术%腹腔镜%左半肝
肝切除術%腹腔鏡%左半肝
간절제술%복강경%좌반간
Hepatectomy%Laparoscopy%Left hemiliver
目的 总结完全腹腔镜左半肝切除术的临床治疗经验.方法 在不阻断全肝血流的情况下,行完全腹腔镜左半肝切除10例,其中原发性肝癌3例,肝海绵状血管瘤3例,肝囊肿2例,多发性肝内胆管结石2例.结果 10例手术均在完全腹腔镜下顺利完成.手术时间190～340min,平均(253.0±51.2)min;出血量200～800 ml,平均(342.0±191.7)ml.术后住院时间(5.2±1.3)d.无并发症发生.结论 在现有的手术器械条件下,选择合适的适应证患者,行腹腔镜左半肝切除术是安全和可行的.
目的 總結完全腹腔鏡左半肝切除術的臨床治療經驗.方法 在不阻斷全肝血流的情況下,行完全腹腔鏡左半肝切除10例,其中原髮性肝癌3例,肝海綿狀血管瘤3例,肝囊腫2例,多髮性肝內膽管結石2例.結果 10例手術均在完全腹腔鏡下順利完成.手術時間190～340min,平均(253.0±51.2)min;齣血量200～800 ml,平均(342.0±191.7)ml.術後住院時間(5.2±1.3)d.無併髮癥髮生.結論 在現有的手術器械條件下,選擇閤適的適應證患者,行腹腔鏡左半肝切除術是安全和可行的.
목적 총결완전복강경좌반간절제술적림상치료경험.방법 재불조단전간혈류적정황하,행완전복강경좌반간절제10례,기중원발성간암3례,간해면상혈관류3례,간낭종2례,다발성간내담관결석2례.결과 10례수술균재완전복강경하순리완성.수술시간190～340min,평균(253.0±51.2)min;출혈량200～800 ml,평균(342.0±191.7)ml.술후주원시간(5.2±1.3)d.무병발증발생.결론 재현유적수술기계조건하,선택합괄적괄응증환자,행복강경좌반간절제술시안전화가행적.
Objective To study the clinical experience of pure laparoacopic left hemihepatectomy. Methods Pure laparoscopic left hemibepatectomy was attempted in 10 patients including 3 cases of primary hepatic carcino-mma,3 cases of cavernous hemangioma of liver,2 cases of hepatic cyst,and 2 cases of calculus of intrahepatic duct. Results Fully pure laparoscopic left hemihepatectomy was accomplished for all 10 cases. Operation time was 190-340(253.0±51.2) min,blood loss was 200-800(342.0 ± 191.7) ml,and hospital stay was(5.2 ± 1.3) d . No com-plicatious occurred. Conclusion Laparoscopic left bemibepatectomy is safe and feasible, which can be considered asan excellent choice for selected cases.
