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首页> 外文期刊>Surgical Endoscopy >Laparoscopic liver resection for segment VII lesion using a combination of rubber band retraction method and flexible laparoscope
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Laparoscopic liver resection for segment VII lesion using a combination of rubber band retraction method and flexible laparoscope

机译：使用橡皮带收缩方法和柔性腹腔镜的组合进行腹腔镜肝切除段VII病变

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Introduction Laparoscopic liver resection (LLR) for tumors involving segment VII has been considered a contraindication. Herein, our proposed laparoscopic technique for segment VII lesions using a rubber band retraction method and flexible laparoscope is introduced. Methods A combination of elastic rubber band retraction method and flexible laparoscope was applied to access segment VII lesion. The perioperative outcomes and pathologic results were compared between patients with segment VII lesions (group 1) and patients with tumors in other segments (group 2) to evaluate feasibility and safety of the proposed laparoscopic approach for segment VII lesions. Results Among 167 patients who underwent LLR from May 2014 to October 2017, the study population included 17 patients with tumors in segment VII (group 1) and 66 patients with tumors in other segments (group 2). The demographics of the two groups were comparable. One open conversion occurred in group 2 due to bleeding. The mean tumor size was 2.6 +/- 1.0 and 2.5 +/- 1.5 cm (p = 0.392) and surgical margin was 1.2 +/- 0.7 and 1.3 +/- 1.2 cm (p = 0.344) in group 1 and group 2, respectively. The mean operation time was 151 +/- 63 and 131 +/- 57 min (p = 0.596) and estimated mean blood loss was 294 +/- 281 and 306 +/- 405 mL (p = 0.610), in group 1 and group 2, respectively. The mean postoperative hospital stay was 6.1 +/- 1.5 and 6.4 +/- 2.7 days (p = 0.064) in group 1 and group 2. Two postoperative complications in both groups and no postoperative mortality occurred. Conclusion The combination technique of rubber band retraction and flexible laparoscopic camera allowed feasible and safe LLR for segment VII lesions that showed postoperative outcomes comparable to other segment lesions.
机译：介绍腹腔镜肝切除（LLR）涉及部分七肿瘤一直被认为是禁忌。在此，被导入我们的段VII病变使用橡胶带缩回方法和灵活的腹腔镜提出腹腔镜技术。弹性橡胶带缩回方法和灵活的腹腔镜的方法的组合物施加到接入段VII病变。围手术期的结果和病理结果患者段VII病变（第1组），并与在其他段（第2组），以评估段VII病变可行性和所提出的腹腔镜手术的安全性肿瘤的患者之间比较。结果在167例谁接受LLR从2014年5月至2017年十月，研究人群包括17例在段VII（第1组）的肿瘤和66例在其它段（组2）的肿瘤。两组的人口具有可比性。一个开放式的转换发生在第2组因出血。平均肿瘤大小为2.6±1.0和2.5 +/- 1.5厘米（p值= 0.392）和切缘是1.2 +/- 0.7和1.3 +/- 1.2厘米组1和组2（p值= 0.344），分别。平均手术时间为151 +/- 63和+/- 131 57分钟（p值= 0.596）和估计的平均失血量为294 +/- 281和306 +/- 405毫升（p值= 0.610），在第1组和分别组2。术后平均住院时间为6.1 +/- 1.5和在组1和组2.两个两组术后并发症6.4±2.7天（p值= 0.064），并没有发生术后死亡率。结论橡胶带缩回和灵活的腹腔镜摄像机的组合技术允许段VII病变表现出术后结果媲美其他节病变安全可行的LLR。

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