中国普外基础与临床杂志

中国普外基础与临床杂志

择期腹腔镜肝切除术治疗肝癌破裂出血

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目的 探讨择期腹腔镜肝切除术治疗肝癌破裂出血的可行性。 方法 对 1 例肝癌破裂出血后自行停止的中年男性患者施行择期腹腔镜肝切除术,分析该患者的临床资料。 结果 患者接受了择期腹腔镜肝切除术,手术完整切除了肝脏病灶。手术顺利,手术时间为 300 min,术中出血 500 mL。患者术后恢复良好,无并发症发生,于术后 4 d 拔除腹腔引流管,于术后 8 d 康复出院。术后病理学检查证实是中分化肝细胞癌合并破裂出血。 结论 择期腹腔镜肝切除术治疗肝癌破裂出血对于特定的患者是安全可行的,但是此类手术需要由腹腔镜手术经验丰富的外科医生施行。

Objective To investigate the feasibility of elective laparoscopic hepatectomy in the treatment of ruptured hepatocellular carcinoma. Methods We tried to perform an elective laparoscopic hepatectomy for a middle-aged man who had a ruptured hepatocellular carcinoma without active hemorrhage. The data of this patient was summarized. Results The patient received the elective laparoscopic hepatectomy, and the liver lesions were completely removed. The operation was successful. Operative time was 300 min and intraoperative bleeding was 500 mL. Postoperative recovery of this patient was good and no complication occurred. The abdominal drainage tube was removed on 4 days after operation, and he discharged on 8 days after operation. The pathology confirmed that the hepatocellular carcinoma was moderately differentiated and ruptured. Conclusion Elective laparoscopic hepatectomy is safe and feasible in the treatment of ruptured hepatocellular carcinoma for specific patient, but this operation needs to be performed by experienced surgeons with laparoscopic skills.

关键词: 肝癌破裂出血; 腹腔镜肝切除术; 择期手术

Key words: ruptured hepatocellular carcinoma; laparoscopic hepatectomy; elective surgery

引用本文: 程瑶, 涂兵, 刘作金, 龚建平. 择期腹腔镜肝切除术治疗肝癌破裂出血. 中国普外基础与临床杂志, 2018, 25(4): 467-472. doi: 10.7507/1007-9424.201802049 复制

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