腹腔镜肝切除治疗肝脏良性肿瘤

目的探讨腹腔镜肝切除对肝脏良性肿瘤的治疗价值。方法不阻断肝脏血流的情况下,应用多功能手术解剖器(PMOD)进行完全腹腔镜下肝切除14例,其中肝海绵状血管瘤11例,肝脏局灶性结节性增生1例,肝脏肉芽肿性炎症1例,肝囊肿纤维化1例。结果14例腹腔镜肝切除术均获成功。无中转开腹,无术后死亡,无术后并发症发生。平均手术时间153．6min,术后平均住院时间6．4d。随访35．6个月(3～44个月)无一例复发。结论对于有症状或诊断不明的肝脏肿块,同时伴胆囊结石(需手术切除)的肝脏血管瘤患者,采用PMOD进行腹腔镜肝切除是一种安全有效的治疗手段。

Laparoscopic liver resection for benign liver tumors

Objective To assess the feasibility, safety, and outcome of laparoscopic liver resection for benign liver tumors Methods Fourteen patients with benign liver tumors, including 11 cases of hepatic hemangioma, 1 case of hepatic focal nodular hyperplasia, 1 case of hepatic granulomatous inflammation, and 1 case of liver cyst with hyaline degeneration and calcification underwent laparoscopic liver resection by PMOD Results Hepatectomy was performed successfully under laparoscope in these 14 patients There was no conversion to open approach, no postoperative mortality and no postoperative complication The mean postoperative hospital stay was 6 4 days without recurrence Conclusion Laparoscopic liver resection of benign liver tumors by PMOD is feasible and safe for patients with symptomatic and undetermined hepatic tumor, and is applicable in hepatic hemangioma complicated with cholecystitis