Abstract: 【Abstract】〓Objective〓To evaluate the feasibility and efficacy of laparoscopic hepatectomy of hepatic hemangioma. Methods〓Clinical data of 18 patients with hepatic hemangioma who underwent laparoscopic liver resection in Department of Hepatobiliary Surgery, the Sun Yat-sen Memorial Hospital from January 2011 to December 2012 were analyzed retrospectively. Results〓Laparoscopic hepatectomy of hepatic hemangioma was successfully performed in 18 patients. The mean diameter of hemangioma was 7.6 (5.5-14) cm, the operating time was (121±44) min. Thirteen patients underwent selective inflow controlled, mean blood loss was 283 (60-900) ml, and mean postoperative hospital stay was 8 (6-12)..d. Postoperative pathological examination showed cavernous hemangioma. Postoperative pleural effusion occurred in one patient, and was cured by conservative surgery. Conclusion〓Laparoscopic hepatectomy of hepatic hemangioma is safe and feasible for selective patients when half-Pringle maneuver and parenchymal transection devices are used appropriately.

Key words: Laparoscopic, Hepatectomy, Hepatic hemangioma

摘要： 【摘要】〓目的〓探讨腹腔镜肝切除治疗肝血管瘤的可行性和疗效。方法〓回顾性分析2011年1月1日至2012年12月31日中山大学孙逸仙纪念医院肝胆外科实施的18例腹腔镜肝切除术治疗肝血管瘤病例的临床资料。结果〓18例患者均应用腹腔镜完成手术。肝血管瘤平均直径为7.6(5.5~14)cm,手术时间为(121±44)min。13例患者术中选择性半肝阻断,术中平均出血量283(60~900)mL,术后平均住院时间8(6~12)d。术后病理均证实为海绵状血管瘤。术后1例患者并发胸腔积液,经保守治疗痊愈。 结论〓选择合适的病例,掌握半肝血流阻断技术,选择正确的肝实质离断平面,合理应用离断肝实质器械,腹腔镜肝血管瘤手术是安全可行的。

关键词: 腹腔镜, 肝切除术, 肝血管瘤