Analysis of clinical application of laparoscopic right posterior sectionectomy with the left side lying at 60° run-hug position
10.3760/cma.j.cn113884-20240406-00097
- VernacularTitle:左侧卧60°跑步-拥抱位在腹腔镜肝右后叶切除术中的应用分析
- Author:
Changyan ZHU
1
;
Yuqiu HU
;
Deqing LI
;
Jinxin DUAN
;
Hongcao LIN
;
Guangyao CHEN
;
Quanbo ZHOU
;
Zhiqiang FU
Author Information
1. 中山大学孙逸仙纪念医院胆胰外科，广州 510120
- Keywords:
Laparoscopes;
Hepatectomy;
Left side lying at 60° run-hug position;
Analysis of application
- From:
Chinese Journal of Hepatobiliary Surgery
2024;30(7):489-493
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and efficacy of laparoscopic right posterior sectionectomy (LRPS) in the left side lying at 60° run-hug position.Methods:The clinical data of 12 cases underwent LRPS at the Department of Biliary and Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University from August 2022 to June 2023 were analyzed. There were 9 males and 3 females, ranging in age from 26 to 76 years old. To evaluate the safety and effectiveness of the operation, operation time, intraoperative blood loss, the number and time of intraoperative hilar occlusion, postoperative drainage time, postoperative hospitalization time and postoperative complications were summarized.Results:Twelve operations were successfully completed under laparoscopy, and no patient was converted to laparotomy due to the difficulty in controlling intraoperative bleeding. 12 patients included 1 case of intrahepatic bile duct stones, 5 cases of primary liver cancer, 2 cases of hepatic hemangioma, 2 cases of focal nodular hyperplasia of the liver, 1 case of metastatic liver cancer, and 1 case of liver abscess. Operation time was (246.2±90.4) min, and the intraoperative blood loss was 125(22, 275) ml. The number of intraoperative hilar occlusion was 2.00(0.25, 2.75), and intraoperative hilar occlusion time was (27±22) min. Postoperative drainage time was (5.0±2.6) d, and the length of postoperative hospital stay was 6.0(4.3, 8.0) d. Intraoperative blood transfusion occurred in 1 patient, and postoperative abdominal effusion occurred in 1 patient. There was no postoperative death. All patients were recovered and discharged successfully.Conclusion:LRPS is safe and effective for the lesions in the right posterior hepatic region with the left side lying at 60° run-hug position.
