Glisson蒂横断式腹腔镜肝切除术:附18例报告
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黎乐群, Email: wufx2013@163.com

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Laparoscopic hepatectomy with Glissonean pedicle transection method: a report of 18 cases
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    摘要:

    目的:探讨Glisson蒂横断式在腹腔镜左半肝及肝左外叶切除术的可行性与安全性。 方法:回顾性分析2011年1月—2013年6月期间18例行腹腔镜下Glisson蒂横断式肝切除术患者的临床资料。 结果:18例患者均成功实施腹腔镜下Glisson蒂横断式左半肝或左外叶肝切除术,无中转开腹。手术时间为42~300 min,平均(215.6±56.6)min;术中出血量为50~200 mL,平均(118.6±50.5)mL,均未输血;住院时间为(8~16)d,平均(11.4±3.1)d,无并发症发生。所有患者随访3~24个月,生存情况均良好,其中6例肝细胞癌患者未见肿瘤复发。 结论:Glisson蒂横断术能够有效控制出血,在腹腔镜解剖性左半肝或左外叶肝切除术中是安全可行的。

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    Objective: To investigate the feasibility and safety of Glissonean pedicle transection method for laparoscopic hepatectomy. Methods: The clinical data of 18 patients undergoing laparoscopic liver resection with Glissonean pedicle transection method between January 2011 and June 2013 were retrospectively analyzed. Results: All of the 18 patients successfully underwent laparoscopic left hemihepatectomy or left lateral lobectomy using Glissonean pedicle transection method, and without any open conversion. The operative time was 42-300 min with an average of (215.6±56.6) min, the intraoperative blood loss was 50-200 mL with an average of (118.6±50.5) mL and without a need for blood transfusion, the length of hospital stay was 8-16 d with an average of (11.4±3.1) d, and there was no occurrence or complications. The patients were followed-up for 3-24 months, all of them were alive and had a satisfactory quality of life, and no tumor recurrence occurred in the 6 cases with hepatocellular carcinoma. Conclusion: Glissonean pedicle transection method can effectively control bleeding, and the use of this method in laparoscopic anatomic left hemihepatectomy or left lateral lobectomy is safe and feasible.

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吴飞翔,黄盛鑫,向邦德,王洪良,马良,黎乐群. Glisson蒂横断式腹腔镜肝切除术:附18例报告[J].中国普通外科杂志,2014,23(7):878-881.
DOI:10.7659/j. issn.1005-6947.2014.07.003

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  • 收稿日期:2014-04-11
  • 最后修改日期:2014-06-05
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  • 在线发布日期: 2014-07-20