Status of endoscopic liver surgery in Japan: a questionnaire survey conducted by the Japanese Endoscopic Liver Surgery Study Group
Status of endoscopic liver surgery in Japan: a questionnaire survey conducted by the Japanese Endoscopic Liver Surgery Study Group
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DOI：
10.1007/s00534-009-0119-1
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发表时间：
2009-07-01
期刊：
影响因子：
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通讯作者：
Kaneko, Hironori
中科院分区：
文献类型：
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作者：
Tsuchiya, Masaru;Otsuka, Yuichiro;Kaneko, Hironori
2007年，召开了日本内窥镜肝脏外科研究小组第一届年会。通过对26家医院进行问卷调查，了解腹腔镜肝切除术和消融术患者的手术方式、中转率和并发症发生率。471例患者接受了非解剖性部分切除(57.7%)、左半肝切除(24.6%)、半肝切除(12.5%)、横切(2.5%)和节段切除(2.5%)等手术方式。47%的患者采用完全腹腔镜手术进行肝切除，53%采用混合式手术。并发症发生率为12.3%，无严重肝功能衰竭及手术死亡病例。169例患者通过胸腔镜术(25.4%)或腹腔镜术(74.6%)进行内窥镜消融治疗，使用无线电波(55.6%)、微波(40.2%)、冷冻(1.8%)或无水乙醇(0.6%)。并发症发生率为6.6%，在选择合适的病例中，腹腔镜肝切除术和内窥镜消融术是治疗肝肿瘤的安全方法。
In 2007, the First Annual Meeting of the Japanese Endoscopic Liver Surgery Study Group was convened. We report the results of a questionnaire survey conducted by this study group that attempted to assess the current status and safety of endoscopic liver surgery.A questionnaire survey was conducted at 26 hospitals to determine the operative procedures, rates of conversion to open surgery, and morbidity rates in patients who had undergone laparoscopic hepatectomy and endoscopic ablation therapy.Laparoscopic hepatectomy was performed in 471 patients by means of nonanatomical partial resection (57.7%), left lateral sectionectomy (24.6%), hemihepatectomy (12.5%), sectionectomy other than lateral sectionectomy (2.5%), and segmentectomy (2.5%). Hepatectomy was performed by a totally laparoscopic procedure in 47% of the patients and by a hybrid procedure in 53%. The rate of complications was 12.3%; there was no case of serious liver failure or operative mortality. Endoscopic ablation therapy was performed in 169 patients through a thoracoscopic (25.4%) or laparoscopic approach (74.6%), using radiowaves (55.6%), microwaves (40.2%), cryotherapy (1.8%), or ethanol (0.6%). The incidence of complications was 6.6%.In properly selected patients, laparoscopic hepatectomy and endoscopic ablation therapy are safe treatments for liver tumors.