Three-Port laparoscopic partial hepatectomy using an ultrasonically activated device (USAD).

Yoichi Toyama, Ryou Miyake, Kyonsu Son, Seiya Yoshida, Teruyuki Usuba, Takuya Nojiri, Satoru Yanagisawa, Katsuhiko Yanaga
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引用次数: 22

Abstract

Background/purpose: We provide an initial report of the indications and procedure for three-port laparoscopic partial hepatectomy.

Methods: Three-port laparoscopic partial hepatectomy was performed in nine patients (age, 49 to 73 years) at our department. Eight patients (seven men and one woman) had hepatocellular carcinoma (HCC); six of these patients had liver cirrhosis (LC) and two had chronic hepatitis (CH). The ninth patient, a woman had a single metastatic liver tumor from colon cancer. The tumors were located in regons S(2), S(3), S(4), S(5), S(6), and S(8). Preoperative liver function assessment revealed Child-Pugh classification A or B. All the tumors were located superficially, and their diameter averaged approximately 3 cm. Hepatectomy was performed laparoscopically, using an ultrasonically activated device (USAD) with or without microwave coagulation therapy (MCT).

Results: The operative time was 50 to 168 min, and the intraoperative blood loss ranged from 32 to 158 g. The postoperative hospital stay was 5 to 17 days. No recurrences, including local relapse, were observed.

Conclusions: Three-port laparoscopic partial hepatectomy is safe and feasible for patients with Child-Pugh liver function classification A or B if the tumor is located superficially and is less than 3 cm in diameter.

使用超声激活装置(USAD)的三端口腹腔镜部分肝切除术。
背景/目的:我们提供了三孔腹腔镜肝部分切除术的适应症和手术方法的初步报告。方法:对我科9例患者(年龄49 ~ 73岁)行三孔腹腔镜肝部分切除术。8例患者(7男1女)患有肝细胞癌(HCC);其中6例为肝硬化(LC), 2例为慢性肝炎(CH)。第九名患者是一名女性,她患有结肠癌引起的单一转移性肝脏肿瘤。肿瘤位于S(2)、S(3)、S(4)、S(5)、S(6)、S(8)区。术前肝功能评估Child-Pugh分级为A或b级。肿瘤均位于浅表,直径平均约3cm。肝切除术在腹腔镜下进行,使用超声激活装置(USAD)配合或不配合微波凝固治疗(MCT)。结果:手术时间50 ~ 168 min,术中出血量32 ~ 158 g。术后住院5 ~ 17天。未见复发,包括局部复发。结论:对于Child-Pugh肝功能A、B级患者,如果肿瘤位于浅表且直径小于3cm,三孔腹腔镜肝部分切除术是安全可行的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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