CAJ | 학술논문

目的探讨腹腔镜肝切除术的适应证和可行性.方法回顾分析5例病灶位于肝脏Ⅱ～Ⅵ段表面及边缘,1例病灶位于Ⅷ段表面的患者的临床资料.其中肝脏海绵状血管瘤4例,肝脏局灶性结节样增生2例,肝脏占位直径5～9.6 cm,平均(6.64±2.60)cm,6例肝功能Child评分均为A级.结果 6例均成功完成腹腔镜肝切除术,无中转开腹,其中局部切除术5例,左肝外叶切除术1例,手术时间为68～148 min,平均(105.17±27.97)min,术中出血80～650 mL,平均(247.50±90.91)mL,全部肝脏占位均完整切除,切缘均为正常肝组织;术后未发生胆漏和出血等并发症,恢复良好,术后平均住院(4.16±1.60)d.结论位于肝脏表面、边缘的病灶行腹腔镜局部肝切除术和左外叶肝切除是安全可行的.
목적 탐토복강경간절제술적괄응증화가행성.방법 회고분석5례병조위우간장Ⅱ～Ⅵ단표면급변연,1례병조위우Ⅷ단표면적환자적림상자료.기중간장해면상혈관류4례,간장국조성결절양증생2례,간장점위직경5～9.6 cm,평균(6.64±2.60)cm,6례간공능Child평분균위A급.결과 6례균성공완성복강경간절제술,무중전개복,기중국부절제술5례,좌간외협절제술1례,수술시간위68～148 min,평균(105.17±27.97)min,술중출혈80～650 mL,평균(247.50±90.91)mL,전부간장점위균완정절제,절연균위정상간조직;술후미발생담루화출혈등병발증,회복량호,술후평균주원(4.16±1.60)d.결론 위우간장표면、변연적병조행복강경국부간절제술화좌외협간절제시안전가행적.
Objective To explore the indication and feasibility of laparoscopic hepatectomy. Methods Clinical data of 6 patients undergoing laparoscopic hepatectomy(LH) were collected and retrospectively anallyzed,5 of them with lesions located in surface or edge of Ⅱ -Ⅵ segment,one of them with lesion in Ⅷ segment. These lesions were 5 - 9.6 cm, the average diameter was (6.64 ± 2.60) cm. There were 4 cases of liver cavernous hemangioma, and 2 case of hepatic focal nodular hyperplasia. The liver functions of 6 cases w ere in Child Pugh A . Results All 6 patients were applied laparoscopic hepatetomy successfully, 5 cases were performed partial resection, 1 case underwent laparoscopic hepatic left lateral lobectomy. The average operation time was( 105.17 ± 27.97 )minutes, and the intraoperative average hemorrhage was (247. 50 ± 90.91 ) mL. All of the lesions were completely removed. There were no postoperative complications such as bile leakage or hemorrhage. All patients recovered well. The average postoperative hospitalization was (4.16 ± 1.60)days: Conclusions Laparoscopic hepatectomy is safe and feasible for lesion located in the edge or sur face of liver and left liver.