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目的探讨安全有效的腹腔镜治疗肝脏肿瘤的方法。方法腹腔镜下应用微波技术分别对2例肝癌和2例肝血管瘤在微波凝固后行肿瘤切除,4例不可切除和1例不宜手术切除的肝癌病人行微波固化治疗。结果4例肝肿瘤切除平均出血量<200ml,全部病例术后恢复顺利。2例肝癌切除病例,存活时间分别为20、27个月。5例肝癌微波固化存活时间6~16个月。结论腹腔镜联合微波技术治疗部分肝脏肿瘤,是一种简便、安全、微创而有效的治疗方法。
Objective To explore a safe and effective laparoscopic treatment of liver tumors. Methods Microwave technique was used in laparoscopic treatment of 2 cases of liver cancer and 2 cases of hepatic hemangioma after microwave coagulation. 4 cases of unresectable and 1 case of unresectable liver cancer patients underwent microwave curing. Results The average amount of bleeding in 4 cases of hepatic tumors was less than 200ml. All the cases recovered well after operation. Two cases of liver cancer resection, survival time was 20,27 months. Five cases of liver cancer microwave curing survival time of 6 to 16 months. Conclusion Laparoscopy combined with microwave technology for the treatment of some liver tumors is a simple, safe, minimally invasive and effective treatment.