腹腔镜；肝切除_____腹腔镜；肝切除(期刊论文)

腹腔镜肝切除术的可行性(附5例报道)

http://www.100md.com 《腹腔镜外科杂志》 2006年第5期

腹腔镜；肝切除,,腹腔镜；肝切除,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜肝切除手术的可行性。方法：2004年11月～2006年1月我院行完全腹腔镜肝切除5例,其中转移性肝癌2例、肝血管瘤3例。肝功能Child分级A级。结果：5例均完全腹腔镜下完成肝局部切除术。手术时间45～280min,平均143min。出血量50～800ml,平均402ml。输血量0～600ml,平均175ml。术后恢复顺利,术后住院2～9d,平均5.6d。结论：腹腔镜肝切除术安全可行,不仅适于肝良性肿瘤,也为肝脏恶性肿瘤提供了切除肿瘤的新途径。

    【关键词】腹腔镜；肝切除

    A feasibility study of laparoscopic liver resections

    CAO Qibin,HU Shanyuan.

    Dongying Municipal Peoples' Hospital,Dongying 257091,China;Shandong Unversity Qilu Hospital

    【Abstract】 Objective:To evaluate the feasibility of laparoscopic liver resection.Methods:Total laparoscopic liver resections werecarried out in 5 candidates between November 2004 and January 2006,including 2 cases of metastatic liver carcinoma,3 cases of liverhemangioma.According to the Child  Pugh classification,5 cases fell into “Class A” and 6 cases.Results:Laparoscopic procedures were completed smoothly.The operation time was 45～280 min(mean,143min).The blood loss was 50～800 ml (mean,402 ml).The amount of blood transfusion was 0～ 600 ml (mean,175 ml).Postoperative convalescence was uneventfully,with a hospital stay of 2～9 d (mean,5.6 d).Conclusions:Laparoscopic liver resection is a safe and feasible procedure.It may be reserved for both benign and malignant tumors in selected cases. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/12/12/31/69/65.htm

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