Abstract：Objective To explore the feasibility and techniques in laparoscopic hepatectomy.Methods Clinical data of 18 cases were reviewed and analyzed from Feb. 2011 to Mar. 2014 in the Hepatobiliary Surgery of the First Affiliated hospital of Bengbu Medical College, including 7 cases of primary liver cancer, 3 cases of hepatic cavernous hemangioma, 2 cases of inflammatory pseudotumor of liver, 1 case of intrahepatolithiasis, 1 case of metastatic squamous carcinoma, 1case of metastatic adenocarcinoma, 1 case of poorly differentiated adenocarcinoma and 2 cases of focal nodudar hyperplasia. The diameter of hepatic space-occupying lesions was 1.5-10.0 cm.Results Total laparoscopic hepatectomy liver resection was completed successfully in 15 patients, open hepatectomy in 2 patients and mini-incision hepatectomy in 1 patient after hand-assisted laparoscopic exploration and dissociation. A total of 10 segmehtectomies and local resection in right hepatic lesions, 8 left lateral lobe hepatectomy. The operation time was 115-400 mins, and the blood loss was(527.5±325.4) ml. All 18 patients had no bile leakage, bleeding or other complications and the postoperative hospital stay was (10±3.7) days.Coclusions Laparoscopic hepatectomy has the advantages of less surgical trauma and rapid postoperative recovery, it is safe and feasible if optimal patients were chosen.
刘会春, 吴斌全, 金浩, 周磊, 鲁正, 谈燚, 鲁贻民. 腹腔镜肝切除术18例临床分析[J]. 中华解剖与临床杂志, 2014, 19(6): 497-499.
Liu Huichun, Wu Binquan, Jin Hao, Zhou Lei, Lu Zheng, Tan Yi, Lu Yiming.. A clinical analysis of 18 cases with laparoscopic hepatectomy. Chinese Journal of Anatomy and Clinics, 2014, 19(6): 497-499.
Edwin B, Nordin A, Kazaryan AM. Laparoscopie liver surgery: New frontiers[J]. Scand J Surg, 2011, 100(1): 54-65.
[2]
Hu BS, Chen K, Tan HM, et al. Comparison of laparoscopic vs open liver lobectomy(segmentectomy) for hepatocellular carcinoma[J]. World J Gastroenterol, 2011, 17(42): 4725-4728.
2014, Vol. 19 
