三维腹腔镜下精准肝脏肿瘤切除应用分析

目的探讨三维腹腔镜精准肝脏肿瘤切除的应用价值。 方法回顾性分析10例肝脏肿瘤患者施行腹腔镜精准解剖性肝切除术的临床资料。 结果10例手术均获成功，其中肝癌8例，肝血管瘤2例；术中出血量平均(216 ± 6) ml，术后住院时间平均(10 ± 3) d；术中出血较少，视野清晰，手术时间也较短。术后无胆漏、出血等并发症发生。术后1～3 d肛门排气，术后5～11 d痊愈出院。 结论三维腹腔镜精准解剖性肝切除对于精确分离肝内管道结构具有一定优势，有助于控制术中出血，适用于肝脏肿瘤解剖性肝切除术，尤其适用于半肝切除术。

Accurate three-dimensional laparoscopic liver tumor resection application analysis

ObjectivesTo investigate the application value of accurate three-dimensional laparoscopic anatomical liver resection. MethodsThe clinical data of 10 cases of liver cancer were analyzed retrospectively. ResultsThe operations were performed successfully in 10 cases, including 8 cases of hepatocellular carcinoma, 2 cases of hepatic hemangioma, average intraoperative bleeding was (216 ± 6) ml, the average postoperative hospitalization time was (10 ± 3) days, due to the cut in less bleeding in the liver, clear vision, operation time shorter. No bile leakage, bleeding and other complications occurred. 1-3 d anal exhaust after surgery, 5-11 d recovered and discharged. ConclusionsLaparoscopic Accurate three-dimensiond anatomical liver resection for separation of intrahepatic duct structure has certain advantages, and helps to control bleeding during the operation, applicable to liver tumor anatomical liver resection, especially in half liver resection.