腹腔镜下微波消融治疗巨大肝血管瘤:附86例报告

发布时间：2018-03-11 20:20

本文选题：肝肿瘤　切入点：血管瘤　出处：《中国普通外科杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:探讨应用腹腔镜微波消融治疗巨大肝血管瘤的疗效和技术要点。方法:回顾性分析2015年1月—2015年12月采用腹腔镜微波消融治疗86例直径5 cm的肝血管瘤患者的临床资料。结果:86例均手术成功,无中转开腹,平均消融时间(26.4±2.7)min,术中平均出血量(27.6±5.2)mL,术后平均住院日(3.7±1.4)d。并发症包括:血红蛋白尿20例(23.3%),皮肤灼伤3例(3.5%),发热11例(12.8%),气胸1例(1.2%),无术后出血、胆汁漏、邻近脏器损伤等严重并发症。术后随访6~12个月,平均7.8个月。病灶残留小于10%者82例(95.3%),病灶残留10%~15%者3例(3.5%),病灶残留大于15%者1例(1.2%)。结论:采用腹腔镜微波消融治疗巨大肝血管瘤安全有效,推荐临床应用。
[Abstract]:Objective: to investigate the efficacy and technique of laparoscopic microwave ablation in the treatment of giant hepatic hemangioma. Methods: from January 2015 to December 2015, 86 cases of hepatic hemangioma with 5 cm diameter were treated with laparoscopic microwave ablation. Results all the 86 cases were successfully operated. The mean ablation time was 26.4 卤2.7 min, the mean intraoperative bleeding was 27.6 卤5.2mL, and the average postoperative hospitalization day was 3.7 卤1.4d.The complications included hemoglobinuria in 20 cases, skin burns in 3 cases, fever in 11 cases, pneumothorax in 1 case, no postoperative hemorrhage, bile leakage, bile leakage, and other complications. Severe complications such as injury of adjacent organs were followed up for 6 ~ 12 months. The mean time was 7.8 months. 82 cases with residual lesions less than 10% were involved in this study. The residual lesions were 10 15% in 3 cases and 3.5% in 3 cases. Conclusion: laparoscopic microwave ablation is safe and effective in the treatment of giant hepatic hemangioma, and clinical application is recommended.
【作者单位】：华中科技大学同济医学院附属协和医院急诊外科;华中科技大学同济医学院附属协和医院肝胆外科;
【基金】：国家自然科学基金资助项目(81371840) 湖北省卫生和计划生育委员会科研基金资助项目(WJ2017Q021)
【分类号】：R735.7

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