【摘要】 目的:探讨腹腔镜肝叶切除术治疗肝脏肿瘤的安全性及可行性。方法:回顾性分析经腹腔镜行肝叶切除术的18例患者,其中17例进行了腹腔镜肝叶切除术(12例为完全腹腔镜,5例为手助腹腔镜),1例转为开腹手术。切除术式包括左肝外叶切除(n=17)以及左肝内叶切除(n=1)。结果:平均手术时间为110(55～210)min,平均住院时间为10.3(8～13)d。1例术后发生胆漏,3例患者术后出现肝功能异常,经相应治疗后顺利出院。结论:良性或恶性肝脏肿瘤的患者经认真评估,行腹腔镜肝叶切除术是安全可行的,随着手术经验的积累可能替代开腹切除。更多还原

【Abstract】 Objective To evaluate the safety and feasibility of laparoscopic hepatectomy for the treatment of liver tumors. Methods 18 patients who received laparoscopic hepatectomy from June 2008 to June 2011 at our hospital were evaluated retrospectively. Operation indication,skill,efficacy and prognosis of these cases were analyzed. Results 17 patients underwent laparoscopic hepatectomy (12 total laparoscopic and 5 handassisted laparoscopic) and 1 case converted to open surgery during operation. 8 patients with benign lesions and 10 cases with malignant lesions. The lesions were located in segments Ⅱ-Ⅲ (n = 17), Ⅳ(n = 1). Tumor size ranged from 1.5 cm to 8.5 cm. The resection manner included left lateral sectionectomy (n = 17) and left intrahepatic sectionectomy (n = 1). The average operating time was 110 minutes (55 ～ 210 minutes), and the average hospitalized time was 10.3 days (8 ～ 13 days). 1 case of bile leakage and 3 cases of hepatic dysfunction occurred after operation. 4 patients discharged from hospital in good condition after corresponding treatments. Conclusion Individualized laparoscopic hepatectomy are secure and feasible based on carefully evaluation benign or malignant liver tumors, may replace open resection with experience accumulation.更多还原