关键词: 肝肿瘤, 腹腔镜, 肝切除

Abstract: Objective To evaluate the feasibility and safety of laparoscopic hepatectomy. Methods The clinical data of 14 patients who underwent laparoscopic hepatectomy in our hospital from December 2009 to December 2011 were retrospectively analyzed. There were eight primary liver cancer,one case of hepatic metastases from rectal cancer,one case of liver focal nodular hyperplasia,one case with fatty degeneration of liver combined with cholecystolithiasis,and three cases of liver cavernous hemangioma. Results All the 14 patients underwent laparoscopic hepatectomy successfully,without conversion to open surgery. Out of them,eight underwent the assisted laparoscopic hepatectomy and 6 cases underwent total laparoscopic hepatectomy. Three cases were performed hepatic left lateral lobectomy,one cases underwent left hemihepatectomy,and ten cases underwent partial resection. The average operation time was 124.2 min （62~276 min）,the intraoperative average hemorrhage was 155.7 ml （40~550 ml）, and the mean hospital stay was 10.8 d（8~15 d）. No serious complications were found in all 14 patients. Eight patients who had primary liver cancer were followed-up for 5 to 25 months. Of the four patients with primary liver cancer who were followed-up for more than one year,one patient died of cancer recurrence and the other three patients remained survival. The 1 a survival rates was 3/4. Conclusions Laparoscopic hepatectomy is feasible and safe for benign and malignant tumors of liver under the premise of meeting operation indications.

Key words: Liver neoplasm, Laparoscope, Hepatectomy