Glisson蒂横断式腹腔镜肝切除术：附18例报告

目的：探讨Glisson蒂横断式在腹腔镜左半肝及肝左外叶切除术的可行性与安全性。 方法：回顾性分析2011年1月—2013年6月期间18例行腹腔镜下Glisson蒂横断式肝切除术患者的临床资料。 结果：18例患者均成功实施腹腔镜下Glisson蒂横断式左半肝或左外叶肝切除术，无中转开腹。手术时间为42~300 min，平均（215.6±56.6）min；术中出血量为50~200 mL，平均（118.6±50.5）mL，均未输血；住院时间为（8~16）d，平均（11.4±3.1）d，无并发症发生。所有患者随访3~24个月，生存情况均良好，其中6例肝细胞癌患者未见肿瘤复发。 结论：Glisson蒂横断术能够有效控制出血，在腹腔镜解剖性左半肝或左外叶肝切除术中是安全可行的。

Laparoscopic hepatectomy with Glissonean pedicle transection method: a report of 18 cases

Objective: To investigate the feasibility and safety of Glissonean pedicle transection method for laparoscopic hepatectomy. Methods: The clinical data of 18 patients undergoing laparoscopic liver resection with Glissonean pedicle transection method between January 2011 and June 2013 were retrospectively analyzed. Results: All of the 18 patients successfully underwent laparoscopic left hemihepatectomy or left lateral lobectomy using Glissonean pedicle transection method, and without any open conversion. The operative time was 42-300 min with an average of (215.6±56.6) min, the intraoperative blood loss was 50-200 mL with an average of (118.6±50.5) mL and without a need for blood transfusion, the length of hospital stay was 8-16 d with an average of (11.4±3.1) d, and there was no occurrence or complications. The patients were followed-up for 3-24 months, all of them were alive and had a satisfactory quality of life, and no tumor recurrence occurred in the 6 cases with hepatocellular carcinoma. Conclusion: Glissonean pedicle transection method can effectively control bleeding, and the use of this method in laparoscopic anatomic left hemihepatectomy or left lateral lobectomy is safe and feasible.