腹腔镜肝切除术的体会(附6例临床报告)

目的 探讨腹腔镜肝切除术的适应证和可行性.方法 回顾分析5例病灶位于肝脏Ⅱ～Ⅵ段表面及边缘,1例病灶位于Ⅷ段表面的患者的临床资料.其中肝脏海绵状血管瘤4例,肝脏局灶性结节样增生2例,肝脏占位直径5～9.6 cm,平均(6.64±2.60)cm,6例肝功能Child评分均为A级.结果 6例均成功完成腹腔镜肝切除术,无中转...

Laparoscopic hepatectomy: a report of 6 cases

Objective To explore the indication and feasibility of laparoscopic hepatectomy. Methods Clinical data of 6 patients undergoing laparoscopic hepatectomy(LH) were collected and retrospectively anallyzed,5 of them with lesions located in surface or edge of Ⅱ -Ⅵ segment,one of them with lesion in Ⅷ segment. These lesions were 5 - 9.6 cm, the average diameter was (6.64 ± 2.60) cm. There were 4 cases of liver cavernous hemangioma, and 2 case of hepatic focal nodular hyperplasia. The liver functions of 6 cases w ere in Child Pugh A . Results All 6 patients were applied laparoscopic hepatetomy successfully, 5 cases were performed partial resection, 1 case underwent laparoscopic hepatic left lateral lobectomy. The average operation time was( 105.17 ± 27.97 )minutes, and the intraoperative average hemorrhage was (247. 50 ± 90.91 ) mL. All of the lesions were completely removed. There were no postoperative complications such as bile leakage or hemorrhage. All patients recovered well. The average postoperative hospitalization was (4.16 ± 1.60)days: Conclusions Laparoscopic hepatectomy is safe and feasible for lesion located in the edge or sur face of liver and left liver.