CAJ | 학술논문

目的总结射频消融辅助腹腔镜肝脏切除的技术要点和效果。方法回顾分析该中心2011年7月1日至2012年7月30日共16例射频消融辅助的腹腔镜肝切除术患者的临床资料。结果规则性肝切除5例：左半肝切除2例，左外叶2例，右后叶1例；其余11例为不规则肝脏切除。16例患者均未阻断入肝血流，平均手术时间125 min ，平均出血量310 mL。全组无中转开腹，无手术死亡及并发症发生病例，平均住院时间9 d。随访2～12个月，除1例术后60 d再发肿瘤外，其余无复发。结论腹腔镜肝脏切除时，选择恰当的手术入路，在射频消融辅助下能有效控制切缘的肝脏血流，有利于腹腔镜手术成功，是值得选择的微创治疗方式。
목적총결사빈소융보조복강경간장절제적기술요점화효과。방법회고분석해중심2011년7월1일지2012년7월30일공16례사빈소융보조적복강경간절제술환자적림상자료。결과규칙성간절제5례：좌반간절제2례，좌외협2례，우후협1례；기여11례위불규칙간장절제。16례환자균미조단입간혈류，평균수술시간125 min ，평균출혈량310 mL。전조무중전개복，무수술사망급병발증발생병례，평균주원시간9 d。수방2～12개월，제1례술후60 d재발종류외，기여무복발。결론복강경간장절제시，선택흡당적수술입로，재사빈소융보조하능유효공제절연적간장혈류，유리우복강경수술성공，시치득선택적미창치료방식。
Objective To sum up the techniques of radiofrequency ablation assisted laparoscopic liver resection .Methods A ret-rospective analysis was done based on the clinical data of 16 patients undergone radiofrequency ablation assisted laparoscopic liver resection from July 1 ,2011 to July 30 ,2012 .Results Sixteen patients were all received successful total laparoscopic liver resection . Anatomical liver resection was carried out on 5 patients including 2 left hemihepatectomy ,2 left lateral segmentectomy ,1 right pos-terior lobectomy ,and 11 patients underwent nonanatomical hepatectomy .None was transected under regional hepatic blood inflow occlusion .The mean operation time was 125 minutes(range 35-335 minutes) ,mean blood loss 310 mL(range 20~1 100 mL) ,and mean hospital stay 9 days(range 5 to 16 days) .No operation death and postoperative complications occurred .The patients were fol-lowed up for 2 to 12 months ,1 recurrence was found in patients with Ⅶ segment hepatocellular carcinoma 60 day after operation . Conclusion The application of radiofrequency ablation assisted laparoscopic liver resection can effectively control the resection mar-gin hepatic blood inflow to ensure the success of operation and reduction of complications .