The clinical effectiveness of laparoscopic treatment of hepatic hemangioma
10.3760/cma.j.issn.1007-8118.2011.03.008
- VernacularTitle:腹腔镜肝血管瘤剜除术临床分析
- Author:
Xiaojian JIN
;
Bangyu LU
;
Xiaoyong CAI
;
Wenqi LU
;
Yubin HUANG
;
Wenshu JIANG
;
Fei HUANG
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Hepatectomy;
Hemangioma
- From:
Chinese Journal of Hepatobiliary Surgery
2011;17(3):208-210
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and efficacy of laparoscopic treatment of hepatic hemangioma. Methods The clinical data of 27 patients who received laparoscopic treatment of hepatic hemangioma from November 2003 to October 2009 were retrospectively analyzed. The hepatic inflow to the liver or to a hemiliver was temporarily blocked using a Pringle manoeuvre with a self-invented laparoscopic blocker at the porta hepatis or at the pedicle to the relevant hemiliver. The Electriccautery and ultracision were used for liver transaction. Results Laparoscopic treatment of hepatic hemangioma was successfully performed in 25 patients. Conversion to laparotomy was required in two (8%) patients for uncontrollable bleeding. There were no major postoperative complications and no mortality. The mean tumor diameter was (6.34±2. 17) cm. The operating time was ( 105.21 ±72.76)min. The time of hepatic inflow block was (10. 17±12. 21)min. The blood loss was (115. 5±212.14)ml. The volume of blood transfusion was (0. 87 ± 1.45)U. The volume of postoperative drainage was (112.60±201.03)ml. The time taken to return to normal activity was (2. 0±0. 8) days.The length of postoperative hospital stay was (5.5±2.4) days. The length of total hospital stay was (12. 5 ±5.3) days. The total cost was RMB10041.6±8678. 7. Conclusion In selected patients, laparoscopic treatment of hepatic hemangioma was safe and feasible.
