腹腔镜循肝静脉入路解剖性肝切除术97例疗效分析

发布时间：2018-04-27 18:49

本文选题：腹腔镜 + 肝切除　；参考：《中国实用外科杂志》2017年05期

【摘要】：目的探讨腹腔镜循肝静脉入路解剖性肝切除的临床疗效。方法回顾性分析2013年1月至2016年12月的湖南省人民医院微创外科97例腹腔镜循肝静脉入路解剖性肝切除术病例资料。结果 97例病人中,Pringle法阻断70例,均为"15+5"模式,最多阻断6次;鞘内阻断60例,鞘外阻断24例。97例病人手术时间为(305.3±156.1)min,术中出血(133.3±170.4)mL,中转开腹手术3例,术后胸腔积液4例,胆漏1例,伤口感染1例,均保守治疗治愈,无再次手术和手术死亡病例。住院时间为(16.1±5.5)d。结论腹腔镜循肝静脉入路解剖性肝切除在器械、方法、技术保障下可以安全有效施行。
[Abstract]:Objective to investigate the clinical effect of anatomic hepatectomy by laparoscopic hepatic vein approach. Methods from January 2013 to December 2016, 97 cases of laparoscopic dissecting hepatectomy with hepatic vein approach in the minimally invasive surgery of Hunan Provincial people's Hospital were analyzed retrospectively. Results among 97 patients, 70 cases were blocked by Pringle method, all of them were "155" mode, the most was 6 times, intrathecal block was 60 cases, extrathecal occlusion was 24 cases, the operative time was 305.3 卤156.1 min, intraoperative bleeding was 133.3 卤170.4 mL, conversion to open operation was 3 cases, postoperative pleural effusion was 4 cases, operation time was 305.3 卤156.1 min, intraoperative hemorrhage was 133.3 卤170.4 mL, operation was converted to open operation in 3 cases, and postoperative pleural effusion in 4 cases. There were 1 case of bile leakage and 1 case of wound infection. The length of hospitalization was 16.1 卤5.5 days. Conclusion Laparoscopic transhepatic hepatic resection via hepatic vein approach can be performed safely and effectively with instruments, methods and techniques.
【作者单位】：湖南省人民医院肝胆微创外科;
【基金】：湖南省自然科学基金(No.2017JJ2159)
【分类号】：R657.3

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