CAJ | 학술논문

2007年12月至2012年10月我院行腹腔镜肝肿瘤切除术21例,其中11例为边缘型恶性肝肿瘤,直径1.0 ～ 9.0 cm(6例直径≤2.0 cm),10例为边缘型良性肝占位病变；肿瘤部位CouinaudⅢ段13例、Ⅳ段内6例、Ⅴ段1例、Ⅵ段内1例；11例为肝细胞癌,7例为肝血管瘤,肝腺瘤1例,肝淋巴瘤1例,肝灶性坏死l例.手术切除均成功,无中转开腹,无胆漏、空气栓塞、死亡等手术并发症,平均手术时间(120±30)min,平均出血量(165±79)ml,术后1～2d开始进食和下床,术后1周外周血WBC计数、白蛋白、胆红素水平恢复正常,平均住院时间(16±10)d；1年生存率100％.合理选择手术适应证,腹腔镜肝肿瘤切除术安全、有效,尤其适用于周围型微小肝肿瘤.
2007년12월지2012년10월아원행복강경간종류절제술21례,기중11례위변연형악성간종류,직경1.0 ～ 9.0 cm(6례직경≤2.0 cm),10례위변연형량성간점위병변；종류부위CouinaudⅢ단13례、Ⅳ단내6례、Ⅴ단1례、Ⅵ단내1례；11례위간세포암,7례위간혈관류,간선류1례,간림파류1례,간조성배사l례.수술절제균성공,무중전개복,무담루、공기전새、사망등수술병발증,평균수술시간(120±30)min,평균출혈량(165±79)ml,술후1～2d개시진식화하상,술후1주외주혈WBC계수、백단백、담홍소수평회복정상,평균주원시간(16±10)d；1년생존솔100％.합리선택수술괄응증,복강경간종류절제술안전、유효,우기괄용우주위형미소간종류.
The clinical data were retrospectively analyzed for 21 cases of liver neoplasms undergoing laparoscopic hepatectomy from December 2007 to October 2012.Among 11 cases of borderline hepatocellular carcinoma (HCC) (1.0-9.0 cm),6 of them were of micro hepatocellular carcinoma (MHCC) with a diameter ≤2 cm.There were 10 cases of borderline hepatic benign tumor,including liver hemangioma (n =7),hepatic adenoma (n =1),liver lymphoma (n =1) and liver focal necrosis (n =1).According to Couinaud's liver segmentation method,neoplasm was located on segment Ⅲ (n =13),segment Ⅳ (n =6),segment Ⅴ (n =1) and segment Ⅵ (n =1).Laparoscopic hepatectomy was successful in all patients.There was neither conversion into open approach nor postoperative complications of bile leakage,air embolism or perioperative mortality,etc.The mean operative duration was (120 ± 30) minutes,average hemorrhagic volume (165-±79) ml and normal diet & ambulation at Day 1-2 post-operation.The average postoperative hospitalization stay was (16 ± 10)days and l-year survival rate 100％.The parameters of leucocyte,liver enzymes,albumin and bilirubin returned to normal at Week 1 post-operation.Once a reasonable surgical indication is selected,laparoscopic resection is both safe and effective for peripheral micro hepatocellular carcinoma.