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目的 探讨腹腔镜肝癌切除的可行性与适应证。 方法 1998年 8月～ 2 0 0 4年 9月采用多功能手术解剖器(Peng’smultifunctionaloperativedissector,PMOD)刮吸法断肝技术对 15例肝癌行腹腔镜肝癌切除术。 结果 14例腹腔镜肝癌切除术成功 ,1例因术中出血中转开腹肝癌切除术。腹腔镜肝癌切除术手术时间 6 0～ 2 4 0min ,平均 12 5min。术中出血量 5 0～2 0 0 0ml,平均 5 0 1ml。切除肝脏最大体积 10cm× 9cm× 7cm。术后无并发症发生。术后 2 4h均能下床活动 ,术后 1～ 3d即能进食。术后住院 5～ 10d ,平均 6 5d。 结论 对位于肝脏边缘、右肝表面或左半肝的恶性肿瘤 ,采用PMOD行腹腔镜肝癌切除是可行和安全的。
Objective To investigate the feasibility and indications of laparoscopic resection of liver cancer. Methods From August 1998 to September 2004, 15 cases of hepatocellular carcinoma underwent laparoscopic hepatectomy using the technique of Peng’smultifunctionaloperative dissector (PMOD). Results Laparoscopic resection of 14 cases of laparoscopic surgery was successful, 1 case of intraoperative hemorrhage due to conversion of open liver cancer resection. Laparoscopic liver resection operation time 60 ~ 240min, an average of 125min. Intraoperative blood loss 50 ~ 2000ml, an average of 501ml. The maximum volume of excised liver 10cm × 9cm × 7cm. No postoperative complications. 24 h after surgery can get out of bed, after 1 to 3d that can eat. After hospitalization 5 ~ 10d, an average of 65d. Conclusion It is feasible and safe to perform laparoscopic liver cancer resection by PMOD in malignant tumors located on the edge of the liver, the surface of the right liver or the left hemiliver.