Analysis of left semiprone position in 3D laparoscopic liver resection for tumor in segment Ⅶ
10.3760/cma.j.cn113884-20240928-00291
- VernacularTitle:左侧卧位在3D腹腔镜肝Ⅶ段肿瘤切除术中的应用分析
- Author:
Bin YANG
1
;
Shengqiang GAO
1
;
Min YU
1
;
Genjun MAO
1
;
Jiansheng LUO
1
;
Shian YU
1
Author Information
1. 金华市中心医院肝胆胰外科，金华 321000
- Publication Type:Journal Article
- Keywords:
Liver neoplasms;
Hepatectomy;
Three dimensional laparoscopy;
Left semiprone position
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(5):337-340
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the feasibility and safety of left semiprone position in 3D laparoscopic liver resection for tumor in segment Ⅶ.Methods:Clinical data of 60 patients with liver tumors treated at Jinhua Central Hospita from January 2018 to September 2022 were retrospectively collected, including 40 males and 20 females, aged (51.5±4.5) years. Perioperative data on operative time, intraoperative blood loss, postoperative time of ambulation, postoperative time to flatulate, duration of hospital stay, pathological type, complications (bile leakage, pleural effusion, etc.) were analyzed. Postoperative follow-ups were conducted through telephone reviews, outpatient visits.Results:Of 57 patients (95.0%) successfully underwent the surgery, while three cases (5.0%) were converted to open surgery due to excessive intraoperative bleeding. The operative time was (210.5±20.5) min. The intraoperative blood loss was (220.5±50.5) ml. The postoperative time of ambulation was (1.5±0.5) d, and the postoperative time to flatulate was (2.0±0.8) d. The postoperative hospital stay was (7.2±1.5) d. Bile leakage occurred in four cases (6.7%) after surgery, which was managed by conservative treatment, and pleural effusion occurred in eight cases (13.3%), which recovered after puncture and drainage. Postoperative pathology included 40 cases (66.7%) of hepatocellular carcinoma, three cases (5.0%) of intrahepatic cholangiocarcinoma, five cases (8.3%) of liver metastases, seven cases (11.7%) of hepatic hemangioma, two case (3.3%) of angiomyolipoma, and three case (5.0%) of focal hepatic nodular hyperplasia. No tumor recurrence was observed during follow-up (median 26 months; range 18-40 months).Conclusion:The application of left semiprone position in 3D laparoscopic liver resection for tumor in segment Ⅶ is safe and feasible.
