论文部分内容阅读
目的探讨精准理念下微创右半肝切除对肝脏肿瘤的治疗效果。方法回顾性分析2010年1月-2015年6月医院收治的16例右肝肿瘤患者,行腹腔镜右半肝切除术的临床资料,观察术中出血量、手术总时间及术后并发症等情况。结果术后病理证实肝血管瘤6例,原发性肝癌9例,肝炎性包块1例;手术耗时240~460min,中位数320min;术中出血量280~1200ml,中位数450ml;2例术后腹腔引流管引流出少量胆汁,充分引流后2例均在2~3周后胆漏情况消失;患者于术后6~14d,中位数8d,康复出院。随访1年,再次出现肝脏占位1例。结论精准理念下微创右半肝切除术不仅有创伤小、术后恢复快等优点,对恶性肿瘤的治疗效果也较为满意。
Objective To investigate the therapeutic effect of minimally invasive right hepatic resection on liver tumors under the concept of precision. Methods The clinical data of 16 patients with right hepatic carcinoma underwent laparoscopic right hemihepatectomy from January 2010 to June 2015 were retrospectively analyzed. The blood loss, total operation time and postoperative complications were observed Happening. Results Postoperative pathology confirmed 6 cases of hepatic hemangioma, 9 cases of primary hepatic carcinoma and 1 case of hepatitis mass. The operation time was 240-460min with a median of 320min. The intraoperative blood loss was 280 ~ 1200ml with a median of 450ml. 2 cases of postoperative drainage of abdominal drainage a small amount of bile, full drainage in 2 cases were 2 to 3 weeks after the disappearance of bile leakage; patients in the postoperative 6 to 14 days, the median 8d, discharged. Followed up for 1 year, again appeared in 1 case of liver. Conclusion The precise concept of minimally invasive right hepatectomy not only has the advantages of less trauma and faster recovery, but also is more satisfactory for the treatment of malignant tumors.