Clinical Experience of Laparoscopic Hepatectomy (Report of 25 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HUANG Jianzhao , SHI Chengxian , GOU Xin , ZHANG Yi , TANG Keli , LIU Juan , YU Peng , LIU Yan , TIAN Li

Department of Hepatobiliary Surgery, Guizhou Province People’s Hospital, Guiyang 550002, Guizhou Province, China;

Corresponding author：

Keywords：

Laparoscope; Hepatectomy; Hepatocellular carcinoma; Liver hemangioma

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo evaluate the safety and feasibility of laparoscopic hepatectomy. Methods A total of 25 patients with hepatocellular carcinoma or liver hemangioma received laparoscopic hepatectomy, and perioperative results were analyzed. ResultsOnly one patient was converted to open hepatectomy because of massive hemorrhage. Blood loss of all patients during operation ranged from 100-1 200 ml with an average of 400 ml. The total blood volume of transfusion was 200-1 000 ml (mean 400 ml) in 14 patients. The operative time was 0.8-4.0 h (mean 2.3 h). All patients had no complications such as bile leakage and infection, and discharged from hospital in 5-10 d (mean 8 d) after operation. ConclusionLaparoscopic hepatectomy is safe and feasible to some liver diseases, but should be used with caution for the patients with tumor diameter over 9 cm and hepatic large vessels invaded by cancer.

Citation： HUANG Jianzhao,SHI Chengxian,GOU Xin,ZHANG Yi,TANG Keli,LIU Juan,YU Peng,LIU Yan,TIAN Li. Clinical Experience of Laparoscopic Hepatectomy (Report of 25 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(3): 324-326. doi: Copy

1.	Cherqui D, Husson E, Hammoud R, et al. Laparoscopic liver resections: a feasibility study in 30 patients [J]. Ann Surg, 2000, 232(6): 753762.
2.	Descottes B, Glineur D, Lachachi F, et al. Laparoscopic liver resection of benign liver tumors[J]. Surg Endosc, 2003, 17(1): 2330.
3.	Gigot JF, Glineur D, Santiago Azagra J, et al. Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study [J]. Ann Surg, 2002, 236(1): 9097.
4.	Figueredo EJ, Yeung RS. Laparoscopic liver resection [J]. Medscape J Med, 2008, 10(3): 68.
5.	蔡秀军, 虞洪, 梁霄, 等. 腹腔镜刮吸法在肝切除术的临床应用 [J]. 中华医学杂志, 2005, 85(3): 161163.
6.	王宏光, 张煊, 董家鸿. 腹腔镜肝切除技术的优化 [J]. 中国普外基础与临床杂志, 2010, 17(6): 538542.
7.	蔡秀军, 王先法, 李立波, 等. 腹腔镜肝脏切除术六例报告 [J]. 中华外科杂志, 2001, 39(3): 202204.
8.	王凤军, 刘连新, 张志程, 等. 微创观念引领下的肝脏恶性肿瘤诊治新进展 [J]. 中国普外基础与临床杂志, 2010, 17(3): 219223.
9.	刘荣, 王悦华, 周宁新, 等. 腹腔镜肝癌切除术11例临床报告 [J]. 肝胆外科杂志, 2003, 11(2): 114117.
10.	刘荣, 黄志强, 周宁新, 等. 腹腔镜肝切除术的手术入路探讨 [J]. 中华医学杂志, 2004, 84(3): 219221.
11.	文天夫, 严律南. 肝切除术中肝脏血流阻断技术的研究进展 [J]. 中国普外基础与临床杂志, 2008, 15(4): 299302.
12.	卢榜裕, 陆文奇, 蔡小勇, 等. 电视腹腔镜胰十二指肠切除术的经验体会 [J]. 中华外科杂志, 2006, 44(3): 202203.
13.	江文枢, 卢榜裕, 蔡小勇, 等. 腹腔镜左半肝切除治疗肝内胆管结石的临床研究 [J]. 中华肝胆外科杂志, 2006, 12(8): 518520.
14.	方传发, 夏来阳, 谢元才, 等. 腹腔镜肝切除术的临床治疗体会（附6例报告） [J]. 赣南医学院学报, 2009, 29(4): 583584.
15.	丁伟, 李森. 腹腔镜肝切除术的体会 [J]. 腹腔镜外科杂志, 2007, 12(4): 274275.
16.	江文枢, 卢榜裕, 蔡小勇, 等. 腹腔镜肝切除治疗肝内胆管结石 [J]. 中国内镜杂志, 2005, 11(B11): 36.
17.	张绍庚, 陈永标, 高远, 等. 手助腹腔镜左肝巨大肝癌切除6例报告 [J]. 腹腔镜外科杂志, 2007, 12(2): 120121.
18.	刘荣, 胡明根, 王刚. 完全腹腔镜肝右三叶切除一例 [J]. 中华医学杂志, 2005, 85(25): 1783.

1. Cherqui D, Husson E, Hammoud R, et al. Laparoscopic liver resections: a feasibility study in 30 patients [J]. Ann Surg, 2000, 232(6): 753762.
2. Descottes B, Glineur D, Lachachi F, et al. Laparoscopic liver resection of benign liver tumors[J]. Surg Endosc, 2003, 17(1): 2330.
3. Gigot JF, Glineur D, Santiago Azagra J, et al. Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study [J]. Ann Surg, 2002, 236(1): 9097.
4. Figueredo EJ, Yeung RS. Laparoscopic liver resection [J]. Medscape J Med, 2008, 10(3): 68.
5. 蔡秀军, 虞洪, 梁霄, 等. 腹腔镜刮吸法在肝切除术的临床应用 [J]. 中华医学杂志, 2005, 85(3): 161163.
6. 王宏光, 张煊, 董家鸿. 腹腔镜肝切除技术的优化 [J]. 中国普外基础与临床杂志, 2010, 17(6): 538542.
7. 蔡秀军, 王先法, 李立波, 等. 腹腔镜肝脏切除术六例报告 [J]. 中华外科杂志, 2001, 39(3): 202204.
8. 王凤军, 刘连新, 张志程, 等. 微创观念引领下的肝脏恶性肿瘤诊治新进展 [J]. 中国普外基础与临床杂志, 2010, 17(3): 219223.
9. 刘荣, 王悦华, 周宁新, 等. 腹腔镜肝癌切除术11例临床报告 [J]. 肝胆外科杂志, 2003, 11(2): 114117.
10. 刘荣, 黄志强, 周宁新, 等. 腹腔镜肝切除术的手术入路探讨 [J]. 中华医学杂志, 2004, 84(3): 219221.
11. 文天夫, 严律南. 肝切除术中肝脏血流阻断技术的研究进展 [J]. 中国普外基础与临床杂志, 2008, 15(4): 299302.
12. 卢榜裕, 陆文奇, 蔡小勇, 等. 电视腹腔镜胰十二指肠切除术的经验体会 [J]. 中华外科杂志, 2006, 44(3): 202203.
13. 江文枢, 卢榜裕, 蔡小勇, 等. 腹腔镜左半肝切除治疗肝内胆管结石的临床研究 [J]. 中华肝胆外科杂志, 2006, 12(8): 518520.
14. 方传发, 夏来阳, 谢元才, 等. 腹腔镜肝切除术的临床治疗体会（附6例报告） [J]. 赣南医学院学报, 2009, 29(4): 583584.
15. 丁伟, 李森. 腹腔镜肝切除术的体会 [J]. 腹腔镜外科杂志, 2007, 12(4): 274275.
16. 江文枢, 卢榜裕, 蔡小勇, 等. 腹腔镜肝切除治疗肝内胆管结石 [J]. 中国内镜杂志, 2005, 11(B11): 36.
17. 张绍庚, 陈永标, 高远, 等. 手助腹腔镜左肝巨大肝癌切除6例报告 [J]. 腹腔镜外科杂志, 2007, 12(2): 120121.
18. 刘荣, 胡明根, 王刚. 完全腹腔镜肝右三叶切除一例 [J]. 中华医学杂志, 2005, 85(25): 1783.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Experience of Laparoscopic Hepatectomy (Report of 25 Cases)

Abstract Full text Figures/Tables Video References Cited by

Format

Content