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目的探讨腹腔镜肝切除术治疗肝血管瘤的可行性及疗效分析。方法对2005年7月-2009年12月在永州市人民医院行腹腔镜肝部分切除术治疗肝血管瘤25例进行可行性及疗效分析。结果 25例中2例中转开腹,23例完成腹腔镜肝部分切除,腹腔镜肝部分切除手术时间40～300min,平均190min,术中出血量约200～1500ml,平均450ml,全组无手术死亡,一例出现胆漏,保守治疗治愈,平均住院8d。结论对位于肝脏边缘,右肝表面或左肝外叶,左半肝,肝右前叶下段的血管瘤,行腹腔镜肝切除具有手术并发症少、术后恢复快等优点。
Objective To investigate the feasibility and efficacy of laparoscopic hepatectomy for the treatment of hepatic hemangiomas. Methods From July 2005 to December 2009 in Yongzhou People’s Hospital laparoscopic partial hepatectomy hepatic hemangioma in 25 cases for feasibility and efficacy analysis. Results Of 25 cases, 2 cases were converted to laparotomy, 23 cases were completed laparoscopic partial hepatectomy. Laparoscopic partial hepatectomy was performed for 40 ~ 300 minutes with an average of 190 minutes. The blood loss was about 200 ~ 1500ml, with an average of 450ml. , A case of bile leakage, conservative treatment of cure, the average hospital 8d. Conclusion The hemangioma located on the edge of the liver, the surface of the right liver or the left extrahepatic lobe, the left hepatic hemangioma and the right anterior lobe of the liver has the advantages of less operative complications and quick recovery after laparoscopic liver resection.