探讨腹腔镜右肝后叶切除治疗肿瘤的安全性、有效性等临床价值。

收集2013年11月至2017年2月湖南省人民医院肝胆微创外科行腹腔镜右肝后叶切除术患者的临床资料，进行回顾总结，对腹腔镜右肝后叶切除治疗肿瘤的安全性及有效性进行分析。

本研究共纳入76例患者，其中70例患者在腹腔镜下完成右肝后叶切除术。行Pringle法阻断肝血流患者72.37%(55/76)。手术时间(266.04 ± 87.44)min；术中输血率10.53%(8/76)；术中出血量(330.21 ± 163.51)ml；其中6例中转开腹手术，中转率7.89%(6/76)，术后胆漏发生率2.63%(2/76)；围手术期内无死亡病例及再手术病例，术后住院时间(7.14 ± 3.39)d。对所有的纳入患者随访6～36个月，出院后每3～6个月复查超声或CT。恶性肿瘤患者无瘤生存时间(18.38 ± 6.80)个月，随访期内无死亡病例。

在具有丰富腹腔镜肝切除经验的中心，严格其适应证、合理利用手术技艺和器械，完全腹腔镜右肝后叶切除术治疗肿瘤是安全、有效的，值得进一步推广。

To explore the clinical value of laparoscopic right hepatic posterior lobectomy for the safety and efficacy of the treatment of right hepatic posterior lobe tumor.

We collected patients′ clinical data for summary review, those who underwent laparoscopic right posterior lobectomy in our hepatobiliary department from Nov. 2013 to Feb. 2017. Then, we evaluated the safety and efficacy of laparoscopic right posterior lobectomy for the treatment of right posterior lobe tumor.

In this study, 76 patients were included and 70 patients underwent laparoscopic subtotal lobe resection. The hepatic blood flow was blocked by Pringle method with an incidence of 72.37% (55/76). The mean operative time was(266.04 ± 87.44)min.The intraoperative blood transfusion rate was 10.53% (8/76) and intraoperative blood loss was(330.21 ± 163.51)ml.There were 6 cases undergoing open surgery. Thus, the transfer rate was 7.89% (6/76). As for postoperative complications, the postoperative bile leakage rate was 2.63% (2/76). There was no perioperative death and re-operation case occurred within 30 days. After the operation, the average time for hospital stay were (7.14 ± 3.39)days. All patients were followed up and the follow-up time lasted from 6 to 36 moths. Patients checked for their condition every 3 to 6 months after leaving the hospital. Malignant tumor-free survival time was (18.38 ± 6.80) months, and there was no patient dead during the follow-up period.

In the center of rich experience of laparoscopic hepatectomy , strict indications, rational use of surgical techniques, equipment, complete laparoscopic right hepatic lobe resection for the treatment of right posterior lobectomy tumors is safe and effective, worthy of further promotion.