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目的探讨同时性大肠癌肝转移腹腔镜一期手术切除的可行性与适应证。方法2007年6月至2009年1月运用超声刀结合Ligasure不阻断全肝血流的情况下,行同时性大肠癌肝转移腹腔镜一期手术切除8例。结果5例同时性大肠癌肝转移腹腔镜一期切除术成功,3例中转开腹行肝转移瘤切除术。5例一期切除手术时间为150~220 min,平均168 min。术中出血量25~80 ml,平均46 ml。全部病例术后7~8 d拆线,术后住院7~10 d,平均8.4 d。术后无并发症发生。结论有选择地进行同时性大肠癌肝转移腹腔镜一期手术切除是可行和安全的。
Objective To investigate the feasibility and indications of laparoscopic resection of simultaneous liver metastasis of colorectal cancer. Methods From June 2007 to January 2009, 8 cases underwent laparoscopic resection of colorectal cancer with liver metastasis under the condition of not blocking the whole blood flow with Ligasure ultrasonic scalpel. Results 5 cases of simultaneous colorectal cancer liver metastases laparoscopic resection successful, 3 cases of laparotomy hepatic metastases resection. Five cases of a surgical resection for 150 ~ 220 min, an average of 168 min. Intraoperative bleeding 25 ~ 80 ml, an average of 46 ml. All patients were sutured 7 ~ 8 days after operation, and hospitalized for 7 ~ 10 days after operation, averaging 8.4 days. No postoperative complications. Conclusions It is feasible and safe to perform laparoscopic resection of selective hepatic metastasis of colorectal cancer.