腹腔镜下微波固化联合手术切除治疗合并严重肝硬化肝癌

【摘要】〓目的〓探讨腹腔镜下微波固化联合手术切除治疗合并严重肝硬化肝癌的可行性和安全性。方法〓回顾分析20例接受腹腔镜下微波固化联合手术切除的合并严重肝硬化的肝癌病例资料。结果〓全组20例病人手术均获得成功,无中转开腹。平均手术时间112.8±25.2 min,术中平均出血量115.5±29.3 mL,平均住院时间10.7±2.5 d。全组病人术后均康复出院,未出现胆漏、腹腔大出血、腹腔感染及肝功能衰竭等并发症。1例病人术后出现肺部感染,2例出现短暂性凝血功能异常,经治疗后均恢复正常。结论〓对于经过选择的合适病例腹腔镜下微波固化联合手术切除治疗合并严重肝硬化的肝癌是安全、可行的。

Laparoscopic microwave coagulation therapy combined with liver resection for hepatocellular carcinoma in severe cirrhotic patients

Objective To investigate the safety and feasibility of laparoscopic microwave coagulation therapy combined with liver resection for hepatocellular carcinoma in cirrhotic patients. Methods The medical records have been reviewed retrospectively in 20 patients who underwent laparoscopic microwave coagulation therapy combined with hepatectomy. Results Surgical procedures were completed successfully in all cases without conversion. The mean operation time was 112.80 min and the mean blood loss in operation was 116.50 mL. The mean hospital stay was 10.7 days. The complications after operation included pneumonia in one case and mild transient coagulopathy in 2 cases. There were no postoperative bile leaks, abdominal massive bleeding, hepatic failure, and death. Conclusions Laparoscopic microwave coagulation therapy combined with liver resection for hepatocellular carcinoma in cirrhotic patients is safe and feasible in selected patients.