Laparoscopic anatomical hepatectomy of hepatic vein approach:A therapeutic analysis of 97 cases
Abstract：Objective To investigate the clinical outcomes on laparoscopic anatomical hepatectomy through hepatic vein approach. Methods The data of 97 cases of laparoscopic anatomical hepatectomy through hepatic vein approach between January 2013 and December 2016 in Hunan Provincial People's Hospital were reviewed retrospectively. Results Seventy cases underwent vascular inflow control by Pringle's maneuver ,in the mode of"15+5", 6 times at most. Also, 60 and 24 cases subjected to the Glisson intra-and extra-pedicles vascular inflow occlusion respectively. The operative time was (305.3±156.1)min, the blood loss was (133.3±170.4)mL. Three cases conversed to open surgery. Acfter operation, 4 cases showed pleural effusion, 1 case showed bile leaks and 1 case showed wound infection, which resolved on hospital non-operative treatment. No case performed reoperation and no death occurred. The hospital stay was (16.1 ± 5.5) days. Conclusion Laparoscopic anatomical hepatectomy through hepatic vein approach can be implemented efficiently and effectively with the insurance of instrument, method and surgical manipulation.
Keywords：laparoscopyhepatectomyanatomical hepatectomyhepatic vein approach
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 555-558 )