中国实用外科杂志

中国实用外科杂志

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经头侧入路腹腔镜解剖性左半肝切除术7例分析

李建伟，郑树国，王小军，曹    利   

  1. 第三军医大学西南医院全军肝胆外科研究所，重庆 400038
  • 出版日期:2017-05-01 发布日期:2017-04-28

  • Online:2017-05-01 Published:2017-04-28

摘要：

目的    探讨经头侧入路腹腔镜解剖性左半肝切除术的可行性。方法    回顾性分析2014年1月至2016年12月第三军医大学西南医院全军肝胆外科研究所7例行经头侧入路腹腔镜解剖性左半肝切除术病人的临床资料。结果    7例病人中男性3例，女性4例；年龄47~72岁；术前诊断左肝内胆管结石5例，左肝肝细胞癌2例。7例病人均顺利完成手术。手术时间180（160~230）min，术中失血量200（100~350）mL。术后无胆漏、出血等并发症发生，1例病人出现胃排空障碍，予以保守治疗治愈出院。术后住院时间4~26 d。 结论    经头侧入路进行腹腔镜解剖性左半肝切除安全、可行。

关键词: 头侧入路, 腹腔镜, 左半肝切除

Abstract:

Analysis of 7 cases of laparoscopic anatomical left hemihepatectomy from the head side        LI Jian-wei, ZHENG Shu-guo, WANG Xiao-jun,et al. Institute of Hepatobiliary Surgery, Southwest Hospital, the Third Military Medical University , Chongqing 400038, China
Corresponding author:ZHENG Shu-guo,E-mail:shuguozh@163.com
Abstract    Objective    To investigate the feasibility of laparoscopic anatomical left hemihepatectomy from the head side. Methods    The clinical data of 7 cases who underwent laparoscopic anatomical left hemihepatectomy from the head side in Southwest Hospital of the Third Military Medical University between January 2014 and December 2016 were reviewed retrospectively. Results    There were 3 male and 4 female patients, aged 47~72 years old. Before operation, 5 cases diagnosed as left hepatolithiasis, and 2 as hepatocellular carcinoma in left lobe. All cases underwent laparoscopic anatomical left hemihepatectomy from the head side successfully. The operation time was 180（160-230）minutes，estimated blood loss was 200（100-350）mL. There was no such severe complications such as hemorrhage and biliary fistula . One case had delayed gastric emptying. Postoperative hospital stay was 4-26 days. Conclusion    Laparoscopic anatomical left hemihepatectomy from the head side may be safe and feasible to perform.

Key words: head side, laparoscopy, left hemihepatectomy