Laparoscopic partial hepatectomy
Laparoscopic partial hepatectomy
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DOI：
10.1111/j.1744-1633.2005.00264.x
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发表时间：
2005-08-01
影响因子：
0.8
通讯作者：
D'Angelica, Michael
中科院分区：
文献类型：
--
作者：
D'Angelica, Michael
目的：回顾有关腹腔镜肝部分切除术的文献。方法：回顾和分析有关腹腔镜肝部分切除术的英文文献。结果：腹腔镜肝部分切除术的数量有限，主要用于需要楔形或节段性切除的小肿瘤。目前还没有前瞻性试验将腹腔镜技术与开放手术进行比较，但病例对照比较表明，该技术是安全的，并且与缩短住院时间和减少切口疼痛有关。主要的肝切除术已经在腹腔镜下进行，但数量非常有限，发表的经验不足以正式解决这种手术。结论：如果由有腹腔镜和肝脏手术经验的外科医生进行，腹腔镜小肝部分切除术似乎是安全的，并且对患者有一定的益处。这种新型手术技术的最终效用将由未来的随机前瞻性试验来确定。
Objective: To review the literature that addresses carrying out laparoscopic partial hepatectomyMethodology: A review and analysis of the English-speaking literature addressing laparoscopic partial hepatectomy.Results: Laparoscopic partial hepatectomy is carried out in limited numbers and mostly on small tumours requiring wedge or segmental resections. No prospective trials have been carried out comparing laparoscopic techniques to open surgery, but case control comparisons suggest that this technique is safe and associated with shortened hospital stay and decreased incisional pain. Major hepatectomies have been carried out laparoscopically, but in very limited numbers and published experience is not sufficient to formally address this operation.Conclusions: Laparoscopic minor partial hepatectomy appears to be safe and of some benefit to patients if carried out by surgeons experienced in both laparoscopic and hepatic surgery. The ultimate utility of this novel surgical technique will have to be determined by future randomized prospective trials.