论文部分内容阅读
目的:探讨经脐单孔腹腔镜手术治疗肝脏恶性肿瘤的可行性及临床应用前景。方法:回顾分析2010年3月至2011年5月为2例患者施行单孔腹腔镜右肝恶性肿瘤切除术的手术方法及临床效果。结果:2例均成功完成单孔手术,无一例中转开腹或增加切口。手术时间分别为75 min和89 min,术中出血60 ml和50 ml,切除肿瘤直径分别为3.5 cm与3.6 cm,术后病理检查结果与术前诊断一致,肿块切缘未见癌细胞浸润。术后无感染、腹腔积液及胆漏等并发症发生,术后1周内出院。结论:单孔腹腔镜右肝恶性肿瘤切除术安全、可行,但术者需同时具备单孔腹腔镜手术及传统腹腔镜肝脏手术的操作经验。相信随着器械的改进,此项技术有望进一步推广应用。
Objective: To investigate the feasibility and clinical application of transumbilical laparoscopic surgery for malignant liver tumors. Methods: The surgical methods and clinical effects of single hole laparoscopic right hepatic malignancy resection for 2 patients from March 2010 to May 2011 were retrospectively analyzed. Results: Two cases were successfully completed single-hole surgery, no case of conversion to laparotomy or increase incision. The operative time was 75 min and 89 min respectively. The intraoperative hemorrhage was 60 ml and 50 ml. The diameter of tumor resected was 3.5 cm and 3.6 cm respectively. The postoperative pathological examination was consistent with the preoperative diagnosis. No tumor cell infiltration was found at the margin of tumor. No postoperative infection, ascites and bile leakage and other complications occurred within 1 week after discharge. Conclusion: Single-hole laparoscopic right hepatic malignancy resection is safe and feasible, but the surgeon should have both single-hole laparoscopic operation and traditional laparoscopic liver operation experience. Believe that with the improvement of equipment, this technology is expected to further promote the application.