腹腔镜肝癌切除术15例临床报告

目的探讨腹腔镜肝癌切除手术的适应证和可行性。方法选择15例病灶位于肝脏边缘及左肝外叶的肝癌患者，其中肝功能Child分级A级9例，B级6例，AFP（＋）4例，病灶直径大小2-6cm，平均3．4cm，对于位于左肝外叶实质中的肿瘤，选择规则性左肝外叶切除；肿瘤位于肝脏边缘或右肝表面时，选用肝脏局部切除。结果全部15例均成功地在腹腔镜下完成肝切除术，切除范围包括局部切除12例，左肝外叶切除3例。全部肿瘤均完整切除，肿瘤包膜完整，无破裂。术后未发生胆漏和出血等并发症，术后恢复良好，术后平均住院9d。结论该组研究表明腹腔镜肝癌切除的适应证可适当放宽至右肝表面或左半肝的肝癌；腹腔镜肝切除术是安全可行的。

Laparoscopic Hepatectomy for hepatocellular carcinoma-a report of 15 cases

Objective] To assess the feasibility, safety, and outcome of laparoscopic liver resection for malignant liver tumor. Methods] 15 patients with malignant liver tumors were included in this study. In these patients, 9 cases were Child A in liver function and 6 cases were Child B; 4 cases were AFP (+); The tumor size range from 2 to 6 cm in diameter, and the average is 3.4 cm. For those tumors located in the left lateral segments, regular left liver lobe or segment resection were performed; and in the anterior segments of the right liver, partial liver resections were selected. Results] All 15 patients were performed laparoscopic liver resection successfully, included12 partial resections, 3 left lateral lobectomv.All of the tumors were removed en bloc. The average of postoperative stay was 9 days. No complications occurred. Conclusion] Laparoscopic liver resection for malinnant liver tumors is feasible and safe.Laparoscopic hepatectomy can be a new alternative for patients with tumors located in the left liver or in the anterior segments of the right liver.