腹腔镜大肝切除方案实施的早期成果

腹腔镜肝切除术具有潜在益处，但可能需要先进的腹腔镜技术并且取决于体积。

这项回顾性研究包括 2020 年 9 月至 2021 年 5 月期间接受腹腔镜大切除术的 12 名患者和 24 名因肝脏恶性肿瘤进行开腹大肝切除术后的患者。主要结果是根据 Clavien-Dindo 分类和住院时间确定的并发症。

腹腔镜切除组的中位住院时间（6 天）明显短于开腹手术组（8 天）（p = 0.046）。 腹腔镜切除组（2 名患者）与开腹切除组（13 名患者）相比，II 级或更高级别的并发症发生率显著降低 (p = 0.031)。

尽管腹腔镜主要肝切除术应仅限于专家肝胆中心，并且具有学习曲线长的特点，但即使在启动新计划期间，这种方法也可能提供有利的短期结果。

腹腔镜大肝切除方案实施的早期成果

合并肝细胞胆管癌的肝硬化患者的肝切除术。 A 右肝动脉和 B 右门静脉分支的识别。 C 操作右肝叶和 D 横切线

腹腔镜大肝切除方案实施的早期成果

合并肝细胞胆管癌的肝硬化患者的计算机断层扫描。 (*) 门静脉右支癌栓

腹腔镜大肝切除方案实施的早期成果

大腺瘤患者的磁共振成像

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