Laparoscopic liver resection using microwave tissue coagulation in 29 cases
10.3760/cma.j.issn.1007-631X.2015.06.008
- VernacularTitle:微波消融辅助腹腔镜肝切除29例
- Author:
Xiaojun HE
;
Mei XIAO
;
Hui ZHANG
;
Yalin KONG
;
Gang ZHAO
;
Wenbing LI
;
Hongyi ZHANG
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Hepatectomy;
Laparoscopes;
Microwaves
- From:
Chinese Journal of General Surgery
2015;30(6):451-453
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of microwave tissue coagulation assisted laparoscopic hepatectomy for the treatment of hepatic tumors.Methods 29 patients underwent laparoscopic hepatectomy using microwave liver tissue coagulation from December 2011 to June 2014 in the General Air Force Hospital.All patients underwent intraoperative ultrasound guided microwave coagulation assisted laparoscopic local hepatectomy.Intraoperative blood loss,operation time,postoperative hospital stay and complications were observed.Results All the operations were successfully performed without conversion to open surgery.There were 18 cases of hepatocellular carcinoma (HCC),2 cases of intrahepatic cholangiocarcinoma,2 cases of hepatic metastases from the rectal carcinoma,5 cases of hepatic hemangioma,1 case of hepatic focal nodular hyperplasia and 1 case of hepatic cystadenoma.Drainage tubes were placed in 3 patients and removed 5-7 d after the operation.The operation time was 150 (125-210) miu,the median amount of intraoperative bleeding was 120 (30-250) ml,the postoperative hospital stay was 7 (5-10) d.All patients recovered well after the operation and no complications such as intraabdominal bleeding and bile leakage were observed.The cutting edges of liver cancer of these 22 cases were negative.The postoperative follow-up time of these 22 cases were 3-36 months and no tumor recurrence and metastasis were observed.Conclusions Laparoscopic liver resection using intraoperative ultrasound guided microwave hepatic tissue coagulation can effectively control the bleeding,improve the safety of laparoscopic liver resection,which makes it a safe and effective minimally invasive technique.
