Improvement on surgical approach for laparoscopic hemangioma dissection
10.3760/cma.j.cn113855-20191111-0649
- VernacularTitle:腹腔镜肝血管瘤剥离术手术入路的改进
- Author:
Ye TIAN
1
;
Xiaofei CAO
;
Baoyang LUO
;
Qinghong LIU
;
Donglin SUN
Author Information
1. 泰州市人民医院肝胆胰外科，江苏省 225300
- From:
Chinese Journal of General Surgery
2020;35(4):292-295
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the surgical approach and the clinical effect of laparoscopic enucleation for hepatic hemangioma(HH).Methods:Forty HH patients admitted in the Third Affiliated Hospital of Soochow University between Aug 2018 and Dec 2019 were analyzed. The technical knowhow involved is to make a good explosure of the pseudocapsular HH from underneath. Herewith a process of HH enucleatoin started.Results:All the 40 patients undergone total laparoscopic hepatectomy successfully.The operative time was (90.3±32.3)min, the intraoperative blood loss was (50±500)ml, the time of hepatic block was (12.5±35.4) min. The volume of postoperative drainage was 10-150 ml on the first postoperative day, and was gradually reduced to <30 ml on the third day after the operation. All patients were up and about from post-op day 2. The length of stay after operation was (5.5±2.7)d. There were significant differences in ALT、AST、TBIL and prealbumin in 1 and 3 days after surgery (seperately, t=-5.481, -4.182, -2.235, 9.722, all P<0.05), before back to normal on day 7 (seperately t=0.167, -1.392, 1.000, -2.531, all P>0.05). Liver function recovered to normal in 7 days after surgery. Conclusion:New approach breaks the traditional stripping method and makes the procedure simple, safe, lessly disturb the liver function.
