Laparoscopic right hemihepatectomy under selective hemihepatic inflow occlusion
10.3760/cma.j.issn.1007-631X.2012.06.009
- VernacularTitle:选择性半肝血流阻断下腹腔镜右半肝切除术七例
- Author:
Liuxin CAI
;
Minling CHENG
;
Xuefeng DU
;
Zhenyu LI
- Publication Type:Journal Article
- Keywords:
Hepatectomy;
Lapartscopy;
Selective hemihepatic inflow occlusion
- From:
Chinese Journal of General Surgery
2012;27(6):459-462
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of laparoscopic right hemihepatectomy under selective hemihepatic inflow occlusion.Methods In performing this procedure,first dissect the right hepatic portal,and under selective hemihepatic inflow occlusion,laparoscopie Peng's multifunctional operative dissector (LPMOD) was used to transect the hepatic parenchyma by stepwise curettage and aspiration.Results Procedures were successful in all six patients of benign liver diseases,though a small subcostal auxiliary incision was needed in one case to control the middle hepatic vein branch hemorrhage.Operation time was 300-540 min[mean,( 399 ± 75 ) min].The time of hepatic portal dissect was 30-75 min[mean,(51 ± 16) min].The time of liver parenchyma transection was 60-160 min[mean,( 116 ± 32) min].Intraoperative blood loss was 600-3000 ml[mean,( 1486 ± 809 ) ml].The level of ALT increased to (302-557) U/L[mean,(386 ± 85 ) U/L]after the operation,and back to normal level in 5-11 d[mean,( 7.1 ± 2.0) d].The postoperative hospital stay was 10-18 d[mean,( 12.4 ± 2.6 ) d].No severe complication occurred after the operation.Conclusions Laparoscopic right hemihepatectomy under selective hemihepatic inflow occlusion is safe and feasible.
