Laparoscopic hepatectomy: a report of 6 cases
10.3760/cma.j.issn.1673-4203.2011.01.007
- VernacularTitle:腹腔镜肝切除术的体会(附6例临床报告)
- Author:
Shengning ZHANG
;
Jing LIU
;
Jianghua RAN
;
Shuyuan WU
;
Zhu LI
;
Yongheng ZHAO
;
Laibang LI
;
Yizhou JIANG
;
Li LI
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Hepatectomy;
Liver neoplasms
- From:
International Journal of Surgery
2011;38(1):22-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the indication and feasibility of laparoscopic hepatectomy. Methods Clinical data of 6 patients undergoing laparoscopic hepatectomy(LH) were collected and retrospectively anallyzed,5 of them with lesions located in surface or edge of Ⅱ -Ⅵ segment,one of them with lesion in Ⅷ segment. These lesions were 5 - 9.6 cm, the average diameter was (6.64 ± 2.60) cm. There were 4 cases of liver cavernous hemangioma, and 2 case of hepatic focal nodular hyperplasia. The liver functions of 6 cases w ere in Child Pugh A . Results All 6 patients were applied laparoscopic hepatetomy successfully, 5 cases were performed partial resection, 1 case underwent laparoscopic hepatic left lateral lobectomy. The average operation time was( 105.17 ± 27.97 )minutes, and the intraoperative average hemorrhage was (247. 50 ± 90.91 ) mL. All of the lesions were completely removed. There were no postoperative complications such as bile leakage or hemorrhage. All patients recovered well. The average postoperative hospitalization was (4.16 ± 1.60)days: Conclusions Laparoscopic hepatectomy is safe and feasible for lesion located in the edge or sur face of liver and left liver.