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九例腹腔镜解剖性肝Ⅷ段切除的可行性与策略分析
引用本文:谭志国,彭创,厉鸥,郭超,沈贤波,孙增鹏,易为民,蒋波. 九例腹腔镜解剖性肝Ⅷ段切除的可行性与策略分析[J]. 中华肝胆外科杂志, 2021, 0(3): 185-187
作者姓名:谭志国  彭创  厉鸥  郭超  沈贤波  孙增鹏  易为民  蒋波
作者单位:湖南师范大学附属第一医院(湖南省人民医院)肝胆外科
基金项目:湖南省卫计委科研基金(20200179);湘卫医改医管处便函(〔2019〕118号)。
摘    要:目的:探讨完全腹腔镜解剖性肝Ⅷ段切除的策略、安全性及近期疗效。方法:回顾分析湖南省人民医院2015年1月至2019年12月行腹腔镜解剖性肝Ⅷ段切除9例患者资料,其中男性6例,女性3例,年龄范围29~67岁,平均年龄53.6岁。观察手术时间、术中失血量、术后住院时间、术后并发症等指标。出院后随访生存和复发情况。结果:9例...

关 键 词:腹腔镜检查  肝肿瘤  解剖性切除  外科治疗

Laparoscopic anatomical liver resection of segment 8: a feasibility study on 9 patients
Tan Zhiguo,Peng Chuang,Li Ou,Guo Chao,Shen Xianbo,Sun Zongpeng,Yi Weimin,Jiang Bo. Laparoscopic anatomical liver resection of segment 8: a feasibility study on 9 patients[J]. Chinese Journal of Hepatobiliary Surgery, 2021, 0(3): 185-187
Authors:Tan Zhiguo  Peng Chuang  Li Ou  Guo Chao  Shen Xianbo  Sun Zongpeng  Yi Weimin  Jiang Bo
Affiliation:(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Hunan Normal University(Hunan Provincial People’s Hospital),Clinical and Technical Research Centre for Preventing and Curing Biliary Tract Diseases in Hunan Province,Changsha 410005,China)
Abstract:Objective To study the feasibility,safety and technique for laparoscopic anatomical liver resection of segment 8.Methods The clinical data of 9 patients who underwent laparoscopic anatomical liver resection of segment 8 from January 2015 to December 2019 at Hunan Provincial People's Hospital were retrospectively analyzed.There were 6 males and 3 females,with age ranging from 29 to 67 years(average 53.6 years).The operation time,intraoperative blood loss,postoperative hospital stay,postoperative complications,and long-term survival and recurrence rates on follow-up were analysed.Results Laparoscopic anatomical liver resection of segment 8 was successfully carried out in these patients.The mean operative time was 188.9 min(range 140-240 min).The mean estimated intraoperative blood loss was 117.8 ml(range 20-300 ml).The postoperative hospital stay was 6.9 days(range 3-12 days).One patient developed pleural effusion after operation and responded to conservative treatment.Another patients developed ascites with delayed extubation.The patient was successfully treated with conservative treatment.No patients developed complications above Clavien DindoⅢa.There were no perioperative deaths.The postoperative pathological results showed hepatocellular adenoma(n=2),hepatocellular carcinoma(n=4),cholangiocarcinoma(n=1),and metastatic liver cancer(n=2).On follow-up for 12-58 months(median 22 months)one patient with hepatocellular carcinoma developed recurrence at 18 months after operation and was treated with microwave ablation.The other patients were well on follow-up.Conclusions With adequate preoperative evaluation,reasonable case selection,rigorous surgical planning,and skilled laparoscopic techniques,laparoscopic anatomical liver resection of segment 8 was safe and feasible,and the short-term efficacy was good in this study.
Keywords:Laparoscopy  Liver neoplasms  Anatomical resection  Surgical treatment
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