Glissonian approach combined with dorsal approach for laparoscopic left hepatectomy: with a report of 17 cases

doi:10.3877/cma.j.issn.1674-6899.2018.02.013

Abstract

Abstract:

Objective

The purpose of this study was to summary the safety and feasibility of Glissonian approach combined with dorsal approach for laparoscopic left hepatectomy.

Methods

From Jan. to Dec. 2017, 17 patients underwent laparoscopic left hepatectomy ware retrospectively analyzed. The operative time, intraoperative blood loss, conversion to laparotomy, postoperative complications and postoperative hospital stay were collected.

Results

17 patients, including 8 males and 9 females, were enrolled in this study. The mean age was (58.71 ± 11.75 )year old. The mean operation time was (278.82 ± 66.51)min with estimated blood loss (323.53 ± 130.05)ml. Only three patients received 3-4 units packed red blood cells. Case 7 and 10 both suffered from bile leakage. Both recovered and discharged after operation. The others were recovered normal and discharged on the postoperative day 7.

Conclusions

Glissonian approach combined with dorsal approach for laparoscopic left hepatectomy was safe and feasible, and worthy being extended.

Key words: Laparoscopy, Hepatectomy, Dorsal approach

Shaohe Wang, Decai Yu, Xingyu Wu. Glissonian approach combined with dorsal approach for laparoscopic left hepatectomy: with a report of 17 cases[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(02): 117-120.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2018.02.013

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2018/V11/I02/117

Figures/Tables 3

References 15

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患者序号	年龄(岁)	性别	病理诊断	手术时间(min)	出血量(ml)	手术名称	术后并发症
1	48	女	肝细胞癌	350	300	腹腔镜左半肝切除术＋尾状叶切除术	无
2	49	男	肝细胞癌	305	200	腹腔镜左半肝切除术＋S5、S1切除术＋胆囊切除术	无
3	59	男	肝细胞癌	310	600	腹腔镜左半肝切除术＋部分尾状叶切除术＋胆囊切除术	无
4	85	男	肝细胞癌	170	400	腹腔镜左半肝切除术	无
5	67	男	肝细胞癌	310	500	腹腔镜左半肝切除术＋胆囊切除术	无
6	59	男	肝细胞癌	380	200	腹腔镜左半肝切除术	无
7	76	女	肝内胆管结石	150	400	腹腔镜左半肝切除术＋胆总管切开取石术＋T管引流术	胆瘘
8	65	女	肝内胆管结石	340	100	腹腔镜左半肝切除术＋肝总管切开取石术＋T管引流术	无
9	60	女	肝内胆管结石	270	400	腹腔镜左半肝切除术＋胆囊切除术＋胆道镜探查＋胆总管切开取石T管引流术	无
10	60	男	肝内胆管结石	315	200	腹腔镜左半肝切除术	胆瘘
11	58	男	肝内胆管结石	230	200	腹腔镜左半肝切除术＋胆道镜探查＋T管引流术	无
12	52	女	肝内胆管结石	330	400	腹腔镜左半肝切除术＋胆肠吻合口翻修＋胆道镜探查取石术	无
13	52	女	肝内胆管结石	300	300	腹腔镜左半肝切除术＋胆道镜探查＋T管引流术	无
14	47	男	肝内胆管结石	225	300	腹腔镜左半肝切除术＋胆囊切除术	无
15	34	女	肝内胆管结石	180	200	腹腔镜左半肝切除术＋胆囊切除术	无
16	66	女	肝门部胆管细胞癌	310	400	腹腔镜左半肝切除术	无
17	61	女	肝门部胆管细胞癌	265	400	腹腔镜左半肝切除术	无

患者序号	年龄(岁)	性别	病理诊断	手术时间(min)	出血量(ml)	手术名称	术后并发症
1	48	女	肝细胞癌	350	300	腹腔镜左半肝切除术＋尾状叶切除术	无
2	49	男	肝细胞癌	305	200	腹腔镜左半肝切除术＋S5、S1切除术＋胆囊切除术	无
3	59	男	肝细胞癌	310	600	腹腔镜左半肝切除术＋部分尾状叶切除术＋胆囊切除术	无
4	85	男	肝细胞癌	170	400	腹腔镜左半肝切除术	无
5	67	男	肝细胞癌	310	500	腹腔镜左半肝切除术＋胆囊切除术	无
6	59	男	肝细胞癌	380	200	腹腔镜左半肝切除术	无
7	76	女	肝内胆管结石	150	400	腹腔镜左半肝切除术＋胆总管切开取石术＋T管引流术	胆瘘
8	65	女	肝内胆管结石	340	100	腹腔镜左半肝切除术＋肝总管切开取石术＋T管引流术	无
9	60	女	肝内胆管结石	270	400	腹腔镜左半肝切除术＋胆囊切除术＋胆道镜探查＋胆总管切开取石T管引流术	无
10	60	男	肝内胆管结石	315	200	腹腔镜左半肝切除术	胆瘘
11	58	男	肝内胆管结石	230	200	腹腔镜左半肝切除术＋胆道镜探查＋T管引流术	无
12	52	女	肝内胆管结石	330	400	腹腔镜左半肝切除术＋胆肠吻合口翻修＋胆道镜探查取石术	无
13	52	女	肝内胆管结石	300	300	腹腔镜左半肝切除术＋胆道镜探查＋T管引流术	无
14	47	男	肝内胆管结石	225	300	腹腔镜左半肝切除术＋胆囊切除术	无
15	34	女	肝内胆管结石	180	200	腹腔镜左半肝切除术＋胆囊切除术	无
16	66	女	肝门部胆管细胞癌	310	400	腹腔镜左半肝切除术	无
17	61	女	肝门部胆管细胞癌	265	400	腹腔镜左半肝切除术	无

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