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首页> 外文期刊>Surgical Endoscopy >Laparoscopic liver resection: preliminary results from a UK centre.
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Laparoscopic liver resection: preliminary results from a UK centre.

机译：腹腔镜肝切除术：来自英国中心的初步结果。

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BACKGROUND AND AIMS: Advancements in surgical technique and technology have facilitated safe laparoscopic liver resection in selected patients. The aim of this study is to evaluate the feasibility and outcome of laparoscopic liver resection. METHODS: Patients with lesions situated in the anterior and left lateral segments were selected for laparoscopic resection. Data were collected prospectively. RESULTS: Between 2003 and 2007, 24 patients (12 males) with a median (range) age of 65 (30-83) years underwent 24 laparoscopic hepatic resections for presumed colorectal metastases (n=20) and other indications (n=4). The resections included left hepatic lobectomy (n=14), other resections of two or three segments with or without metastasectomy (n=5), left hemihepatectomy (n=2) and unisegmentectomy (n=3). All procedures were completed laparoscopically. Median operating time was 155 min. Estimated median (range) blood loss was 100 (25-1100) ml and one patient received two units blood transfusion. The operative morbidity rate was 4%, and there were no operative deaths. The median (range) postoperative hospital stay was 3 (1-14) days. At median (range) follow-up of 13.5 (5-36) months, 4 patients (21%) had disease recurrence and 17 patients (89%) remained alive. CONCLUSIONS: In selected patients with lesions in the anterior and left lateral segments, laparoscopic liver resection is feasible, achieves adequate cancer resection and is associated with smooth and rapid recovery. Long-term follow-up data are required for oncological results.
机译：背景与目的：外科技术的进步促进了选定患者的安全腹腔镜肝切除。这项研究的目的是评估腹腔镜肝切除术的可行性和结果。方法：选择病变位于前，左外侧段的患者进行腹腔镜切除。数据是前瞻性收集的。结果：在2003年至2007年之间，有24位患者（12位男性）的中位年龄（年龄）为65岁（30-83岁），接受了24例腹腔镜肝切除术，以进行推测的结直肠转移（n = 20）和其他适应症（n = 4）。 。切除包括左肝叶切除术（n = 14），其他两或三个节段的有或没有转移灶切除术（n = 5），左半肝切除术（n = 2）和未切除术（n = 3）。所有程序都通过腹腔镜完成。中位操作时间为155分钟。估计的失血中位数（范围）为100（25-1100）ml，一名患者接受了两次输血。手术发病率为4％，无手术死亡。术后住院时间的中位数（范围）为3（1-14）天。在13.5（5-36）个月的中位（范围）随访中，有4例（21％）患病复发，而17例（89％）仍然活着。结论：在选定的前，左外侧段有病变的患者中，腹腔镜肝切除术是可行的，可以实现充分的癌切除术，并能顺利，快速地康复。肿瘤结果需要长期随访数据。

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