[1]蔡秀军  彭淑牖  黄迪宇  虞洪  王先法  梁霄.腹腔镜下刮吸法断肝术在肝脏切除术中的应用(附7例报告)[J].中国微创外科杂志,2002,02(1):11-13.
 CaiXiujun,Peng Shuyong,Huang Diyu,et al.The application of liver transected by curettage-aspiration for lapar oscopic hepatectomy with a report of 7 cases.[J].Chinese Journal of Minimally Invasive Surgery,2002,02(1):11-13.
点击复制

腹腔镜下刮吸法断肝术在肝脏切除术中的应用(附7例报告)()
分享到:

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
02
期数:
2002年1期
页码:
11-13
栏目:
新技术新方法
出版日期:
2002-02-28

文章信息/Info

Title:
The application of liver transected by curettage-aspiration for lapar oscopic hepatectomy with a report of 7 cases.
作者:
蔡秀军  彭淑牖  黄迪宇  虞洪  王先法  梁霄 
浙江大学医学院附属邵逸夫医院外科,杭州,310016
Author(s):
CaiXiujunPeng ShuyongHuang Diyuet al.
Department of Surgery,Sir Run Run Shaw Hospital,Medical school of Zhejiang University,Hangzhou, 310016,China.
关键词:
刮吸法断肝术多功能手术解剖器腹腔镜下肝脏切除
Keywords:
Liver transection by curettage and aspiration  Peng’s multifunctional operative dissector  Laparoscopic hepatectomy
分类号:
R657.3
文献标志码:
B
摘要:
目的介绍一种新的腹腔镜下切肝技术——刮吸法断肝术,并获7例肝切除成功的经验和体会. 方法应用自行设计的可供腹腔镜下使用的多功能手术解剖器(PMOD)来实施腹腔镜下刮吸法断肝术的肝脏切除术,连续7例. 结果 7例均手术成功, 无中转开腹手术,无并发症发生.平均手术时间135分钟,术中出血量平均770ml,切除肝脏体积最大的为10cm×9 cm×7cm.术后24小时均能下床活动,术后1周出院. 结论刮吸法断肝技术应用于腹腔镜下肝脏切除术具有解剖清晰,能显露肝内管道结构,边操作边吸引,切肝速度快,止血效果佳,术野清晰,优于其他切肝方法.
Abstract:
Objective To introduce a newtechnique for laparoscopic hepatectomy transected by curettage and aspiration (LTCA).  Methods Peng’s multifunctional operative dissector (PMOD) was used to perform laparoscopic hepatectomy transected by curettage and aspi- ration. Seven cases of segmentectomywere performed successfully. Results All procedureswerewell done and patients recoveredwellwith- out complication. The average operative time was 135 min. The average blood loss was 770 ml. The maximal volume of transected liver was 10cm×9cm×7cm. They could walk 24 hours after operation and be hospitalized only for one week. Conclusions The new technique— LTCA is better than other methods, and PMOD is an optimal tool used to perform laparoscopic hepatectomy.

参考文献/References:

[1]周伟平,孙志宏,吴孟超,等.经腹腔镜肝脏肿瘤切除术三例报告.肝胆胰外科杂志,1994,6:3-5.
[2]刘海鹰,胡伟民,蔡植华.腹腔镜肝血管瘤切除术.中国内镜杂志,1998,4:28.
[3]Paterson BS,Garden OJ. Laser-assisted laparoscopic excision of liver cyst. Br J Surg, 1991,78:1074.
[4]Phillips EH, Carroll BJ, Chandra M, et al. Laparoscopic guided biopsy for dia gnosis of hepatic candiasis. J Laparoendoscopic Surg,1992,21:33-38.
[5]Yamanaka N, Okamoto E, Tanaka T, et al. Laparoscopic microwave co-agulonecrot ic therapy for hepatocellular carcinonma. Surgical Laparoscopy Endoscopy, 1995, 5:444-449.
[6]彭淑牖,牟一平,蔡秀军,等.胆囊癌累及肝门部胆管的外科处理.中国实用外科杂志, 1998 ,18:346-348.
[7]彭淑牖,苏英,江献川,等.刮吸法断肝术临床应用报告.实用外科杂志,1993,13:17-19.

更新日期/Last Update: 2014-07-18