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模式化腹腔镜肝左外叶切除术:附71例临床应用报道
引用本文:赵国栋,胡明根,刘荣.模式化腹腔镜肝左外叶切除术:附71例临床应用报道[J].南方医科大学学报,2011,31(4):737-740.
作者姓名:赵国栋  胡明根  刘荣
作者单位:中国人民解放军总医院肝胆外科;
摘    要:目的介绍一套模式化腹腔镜肝左外叶切除方法。方法分7步:(1)患者取平卧位,4孔法操作;(2)按序离断肝周韧带脉,,断游肝离角肝度左偏叶左;(;3()6超)切声割刀闭粗合分器离离出断Ⅱ肝段左及静Ⅲ脉段;(血7)管处蒂理;(创4)面切,割留闭置合引流器,离取断出Ⅱ标/Ⅲ本段。血结管果蒂20;(035)年超7声月刀~2粗01分0年离8出月肝,左共完静成71例手术,无中转。手术时间75±30.8 min,出血量58±36.4 ml,术后平均住院4.8±1.5 d。术后腹水2例,胆瘘1例,保守治愈。结论本"模式化"方法简便,安全、可行,重复性好,术中出血及术后并发症少,术者腔镜技术要求低,适合各级医院借鉴,利于腹腔镜肝脏切除术的普及和推广。

关 键 词:腹腔镜  肝左外叶切除  肝脏  微创手术

A modeling method for laparoscopic left lateral segment liver resection: report of 71 cases
ZHAO Guo-dong,HU Ming-gen,LIU Rong.A modeling method for laparoscopic left lateral segment liver resection: report of 71 cases[J].Journal of Southern Medical University,2011,31(4):737-740.
Authors:ZHAO Guo-dong  HU Ming-gen  LIU Rong
Institution:ZHAO Guo-dong,HU Ming-gen,LIU Rong Department of Hepatobiliary Surgery,General Hospital of PLA,Beijing 100853,China
Abstract:Objective To summarize the experience with a modeling method for laparoscopic left lateral segment liver resection(LLLR).Methods The surgical procedures of LLLR were carried out with the patient placed in a supine position and 4 trocars placed on the abdomen.After complete dissociation of the left lobe,the segment II and III vascular pedicles were freed with a harmonic scalpel and transected with a linear cutter stapler.The left hepatic vein(LHV) was dissociated with a harmonic scalpel with a slightly left ...
Keywords:laparoscopy  left lateral segment liver resection  live  minimally invasive surgery  
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