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学科主题: 外科学
题名:
腹腔镜解剖性左半肝切除治疗肝肿瘤
其他题名: Laparoscopic anatomical left hemihepatectomy for liver tumors
作者: 原春辉; 修典荣; 马朝来; 蒋斌; 李智飞; 李磊; 贾易木; 熊京伟; 张同琳
关键词: 腹腔镜 ; 左半肝切除术 ; 肝肿瘤 ; Laparoscopy ; Left hemihepatectomy ; Liver tumor
刊名: 中华肝胆外科杂志
发表日期: 2014
DOI: 10.3760/cma.j.issn.1007-8118.2014.12.003
卷: 20, 期:12, 页:845-847
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 探讨腹腔镜解剖性左半肝切除术在治疗肝脏肿瘤中的价值.方法 回顾性分析2006年3月至2012年1月21例因肝脏肿瘤而行腹腔镜解剖性左半肝切除术患者的临床资料.观察指标包括手术时间、术中失血量、术后并发症等.断肝方式为超声刀+ LigaSure联合分离法,结合腔镜下切割缝合器.结果 术后病理证实原发性肝癌13例,肝血管瘤8例.平均手术耗时335(220~425) min,术中出血量约650(180 ~1 220) ml.4例术后发生胆漏,经充分引流1~4周治愈.术后平均住院时间为8.2(5 ~12)d.肝脏恶性肿瘤患者术后随访31(13 ~72)个月,肿瘤复发5例,其中4例因肿瘤复发转移死亡.结论 腹腔镜下解剖性左半肝切除术是一种安全、有效、微创的手术.其不但适用于良性肿瘤,也适用于恶性肿瘤,能达到根治要求. Objective To explore the technique and clinical application of laparoscopic anatomical left hemihepatectomy in the treatment of liver tumors.Methods From March 2006 to January 2012,21 patients underwent lapamscopic anatomical left hemihepatectomy.Data including operating time,blood loss and postoperative complications were collected and analyzed retrospectively.The liver parenchyma was transected using a laparoscopic ultrasonic scalpel and ligasure,together with an endoscopic linear stapler.Results Laparoscopic anatomical left hemihepatectomy was carried out in patients with primary liver carcinoma (n =13) and hemangioma (n =8).The mean blood loss was 650 (180 ~ 1 220) ml,the mean surgical time was 335 (220 ~425) minutes,and the mean postoperative hospital day was 8.2 (5 ~ 12) days.Postoperative complications included four patients with bile leakage,which recovered after 1 ~ 4 weeks of treatment with draining.Patients with malignant tumors were followed-up at a median of 31 (13 ~ 72)months.Tumor recurrence happened in five patients and four had died of recurrence and metastasis.Conclusions Laparoscopic anatomical left hemihepatectomy is a safe,feasible and efficacious procedure for the treatment of benign and malignant liver diseases in properly selected patients.It is recommended to treat patients with hepatocellular carcinoma.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/73197
Appears in Collections:北京大学第三临床医学院_普通外科_期刊论文

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作者单位: 100191,北京大学第三医院普通外科

Recommended Citation:
原春辉,修典荣,马朝来,等. 腹腔镜解剖性左半肝切除治疗肝肿瘤[J]. 中华肝胆外科杂志,2014,20(12):845-847.
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