Laparoscopic ultrasonography in difficult place right laparoscopic hepatectomy

VernacularTitle:腹腔镜超声在右肝困难部位肝肿瘤切除术中的应用
Author: Zhiming WU ¹ ; Hongjun HUANG ; Xingcheng MENG ; Xiufeng CHU ; Hong YU
Author Information

1. 绍兴市中心医院普外科
Keywords: Liver neoplasms; Hepatectomy; Laparoscopes; Ultrasonic surgical procedures
From: Chinese Journal of General Surgery 2018;33(6):486-489
CountryChina
Language:Chinese
Abstract: Objective To evaluate the role of laparoscopic ultrasonography (LUS) in difficult place laparoscopic hepatectomy of the right liver.Methods The data of 7 patients undergoing laparoscopic hepatectomy with tumor in the difficult location of the right liver in our hospital between Jun 2015 and Aug 2017 were retrospectively analyzed.LUS was used during all the operations in order to investigate the anatomy of the operations,determine the tumor stage and guide the incision margin of tumor.It was conventionally used to detect the relationship between the lesions and peripheral intrahepatic vessels and ducts.Results Seven cases underwent successful laparoscopic hepatectomy.The mean operative time was (121 ± 50) min,average intraoperative blood loss was (301 ± 122) ml,and there was no operative mortality.Mean hospital stay was (7.1 ± 1.2) d.One suffered biliary leakage and was cured by conservative treatment.Conclusions Laparoscopic ultrasound can determine tumor location and guide the operative route,increasing safety of laparoscopic hepatectomy.