腹腔镜肝脏Spiegel叶切除术三例

目的 探讨联合左肝叶的腹腔镜肝脏Spiegel叶切除术的可行性和手术经验.方法 施行联合左肝叶的腹腔镜肝脏Spiegel叶切除3例.首先切除左半肝或者左肝外侧叶,再经左侧入路将Spiegel叶切除.结果 3例联合左肝叶的腹腔镜肝脏Spiegel叶切除术均获得成功,平均手术时间为197 min,平均术中出血为467 ml.术后无出血、胆漏、感染及腹腔积液等并发症.结论 对于合适的病例,联合左肝叶的腹腔镜肝脏Spiegel叶切除由具有丰富腹腔镜肝脏手术经验的外科医生实施是安全、可行的.

Laparoscopie resection of Spiegel lobe

Objective To evaluate the feasibility and experience of laparoscopic resection for Spiegel lobe associated with left liver lobe. Methods Three patients underwent laparoscopic resection ofSpiegel lobe associated with left liver lobe, Left hemihepatectomy or left lateral lobectomy was carried out firstly and then Spiegel lobe resected through the left-sided approach. Results A total of 3 cases were performed successfully. The median operative time was 197 rain and the median blood loss 467 ml. The postoperative period was uneventful without hemorrhage, bile leakage, infection or abdominal effusion.Conclusion Laparoacopic resection of Spiegel lobe associated with left liver lobe is safe and feasible when performed in selected cases and by experienced surgeons in laparoscopic hepatectomy.