腹腔镜；肝切除术_____腹腔镜；肝切除术

腹腔镜肝切除术的临床分析(附5例报告)

http://www.100md.com 《腹腔镜外科杂志》 2006年第6期

腹腔镜；肝切除术,,腹腔镜；肝切除术,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例均在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,术后住院时间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；肝切除术

    The study of laparoscopic liver resection:a report of 5 cases

    CAO Qibin,HU Sanyuan.

    Dongying Municipal People's Hospital,Dongying 257091,China;The Qilu Hospital of Shandong University

    【Abstract】 Objective:To explore the feasibility of laparoscopic liver resection.Methods:Total laparoscopic liver resections were performed in 5 patients between November 2004 and January 2006,including 2 cases of metastatic liver carcinoma,3 cases of liverhemangioma.According to the Child classification 5 cases fell into "Class A".Results:Laparoscopic procedures were completed successfully.The operative time was 45280min(mean 143min).The blood loss was 50800ml (mean 402ml).The amount of blood transfusion was 0600ml (mean 175ml).Postoperative recovery was uneventfully,with a hospitalization of 29d (mean 5.6d).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/2007/02/17/37/52/52.htm

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