Laparoscopic resection of hemangiomas in the right posterior hepatic section without any blood flow occlusion: a study on 28 patients
10.3760/cma.j.issn.1007-8118.2019.06.004
- VernacularTitle:无血流阻断的腹腔镜肝右后叶血管瘤切除28例临床分析
- Author:
Jianchu WANG
1
;
Tianwei YAO
;
Zongjiang LUO
;
Ying ZHANG
;
Wei WANG
;
Pengyu CHEN
;
Libai LU
;
Yuan LU
;
Wenchuan LI
;
Jian PU
Author Information
1. 右江民族医学院附属医院肝胆外科
- Keywords:
Hemangioma;
Liver;
Laparoscopes;
Non-blood control methods
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(6):415-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety and efficacy of laparoscopic resection of hemangioma in the right posterior hepatic section without any blood flow occlusion.Methods Patients with hemangiomas in the right posterior section of liver operated from January 2016 to June 2018 in the Affiliated Hospital of Youjiang Medical College for Nationalities were studied retrospectively.There were 19 females and 9 males.The average age was (37.9 ± 6.1).The operation methods,perioperative factors,hospitalization cost and follow-up outcomes were recorded and analyzed.Results 28 patients with hemangiomas were treated with laparoscopic resection of right posterior hepatic section without any blood flow occlusion.An ultrasound scalpel was applied to split the liver in 27 patients,and ultrasound scalpel combined with Ligasure to split the liver in 1 patient.The mean diameter of the hepatic hemangiomas was (6.7 ± 1.3) cm.The intraoperative blood loss was (330.4 ± 139.0) ml and the operation time was (87.4 ±27.9) min.One patient required conversion to open surgery due to rupture and bleeding of the hemangioma.The conversion rate was 3.6％ (1/28).The postoperative drainage time was (45.4 ± 18.9) h.The postoperative hospitalization time was (7.5 ± 1.3) d,and the hospitalization cost was (3.1 ± 0.5) ten thousand yuan.No death or serious complications occurred.No reoperation was needed.The follow-up period ranged from 1 to 30 months,and all the patients were well on follow-up.Conclusions Laparoscopic resection of hemangioma in the right posterior hepatic section without any blood flow occlusion was safe and efficacious.This method can be used for hemangiomas in the right posterior section of liver.
