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电视腹腔镜手术是九十年代外科学的巨大变革。自1987年法国人首创腹腔镜胆囊切除以来,短短几年中就已发展到腹部各种脏器的切除,深受患者的好评。我科自1995年8月份起开展腹腔镜肝肿瘤切除,在气腹和非气腹状态下进行,采用缝切和微波凝固切肝方法,切除肝癌2例,肝血管瘤2例。我们体会到腹腔镜肝肿瘤切除具有损伤小、恢复快等优点,对边缘型肝肿瘤可选用。在非气腹状态下加用小切口使用常规手术器械,可大大降低手术费用。但腹腔镜肝肿瘤切除手术难度大,费时,需具有肝脏切除的丰富经验才可实施。国内外开展腹腔镜肝切除手术较少见。随着腹腔镜手术器械的更新发明和技术的进步,腹腔镜肝切除一定会发展起来。
Laparoscopic surgery is a great change in the surgery of the 1990s. Since the French pioneered laparoscopic cholecystectomy in 1987, it has developed into a variety of organs in the abdomen in just a few years, which has been well received by patients. In our department, laparoscopic liver tumor resection was carried out in August 1995. It was performed under pneumoperitoneum and non-pneumoperitoneum. The method of suture cutting and microwave coagulation was used to remove liver cancer in 2 cases and hepatic hemangioma in 2 cases. We realized that laparoscopic liver tumor resection has the advantages of less damage and quicker recovery, and it can be used for marginal liver tumors. Adding a small incision in the non-pneumatic state using conventional surgical instruments can greatly reduce the cost of surgery. However, laparoscopic liver tumor resection is difficult, time-consuming and requires extensive experience in liver resection before it can be implemented. Laparoscopic liver resection is rarely performed at home and abroad. With the advancement of laparoscopic surgical instruments and advances in technology, laparoscopic liver resection will certainly develop.