Clinical application experience of completely laparoscopic anatomical liver resection without bleeding control

doi:10.3877/cma.j.issn.1674-6899.2016.05.010

Abstract

Abstract:

Objective

To investigate the value of completely laparoscopic anatomical liver resection without bleeding control.

Methods

We retrospectively analyzed the clinical data of 12 cases of completely laparoscopic anatomical liver resection without bleeding control in our hospital from Jun. 2015 to Mar. 2016.Twelve patients included left intrahepatic bile duct calculi (9 cases) , liver cancer (2 cases), liver hemangioma (1 case).

Results

The surgery of 12 cases was successfully completed. Completely laparoscopic anatomical liver resection included left the outside leaf resection (Ⅱ + Ⅲ section) in 2 cases, left half liver excision (Ⅱ + Ⅲ + Ⅳ section) 9 cases, Ⅴ + Ⅶ + Ⅷ section in 1 case. The mean operative time was (210.75 ± 65.83)min, blood losses were (296.67 ± 373.74)ml, Postoperative exhaust time was (2.71 ± 0.84)d, hospitalization after surgery was (13.92 ± 5.98)d, treatment costs for the operative were (32 004.19 ± 8 630.79)yuan. Surgery complications occurred in 3 cases, 1case was gastroparesis, 1 case was bile leakage and 1 case was pulmonary infection. In follow-up between 3 to 15 months, 2 cases of tumor patients were no recurrence or metastasis, none cases of stone patients were stone residue and recurrence.

Conclusions

Completely laparoscopic anatomical liver resection without bleeding control is safe and effective, is one of the future development of minimally invasive surgery of liver.

Key words: laparoscopic, Liver, Liver resection, No bleeding control

Shide Chen, Xiangguo Li, Zaibin Yu, Xiaofeng Wang. Clinical application experience of completely laparoscopic anatomical liver resection without bleeding control[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(05): 297-300.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2016.05.010

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