目的对腹腔镜下Ligasure刀肝癌切除术的适应症和疗效进行探讨。方法对11例进行了腹腔镜下Ligasure刀肝癌切除术的患者的肿瘤大小和部位,手术时间,出血量,术后住院日,近期疗效进行总结和分析。结果 11例手术全部成功,全部肿瘤小于7cm:其中小于3cm的4例,3～5cm的4例,5～7cm的3例。肿瘤分别位于第Ⅱ、Ⅲ、Ⅴ、Ⅵ、Ⅶ肝段。平均手术时间92min(80～126min),术中平均出血81ml(20～200ml),平均术后住院日8d(7～9d),全部病例术后第1天肠功能恢复并进食,全组无手术后并发症,全部康复出院。结论腹腔镜下Ligasure刀肝癌切除术适用于周边型的肝癌的切除,具有操作简便,出血少,创伤小,术后恢复快,安全效好的优点。 Objective To investigate the indications and effects of laparoscopic Ligasure knife resection of liver cancer. Methods Totally 11 patients undergoing laparoscopic Ligasure knife resection of liver cancer were included in the study. The tumor size and site, operation time, blood loss, postoperative hospital stay and short-term efficacy were summarized and analyzed. Results All of the 11 surgeries were successful. All tumors were less than 7 cm in size: 4 of less than 3 cm, 4 of 3 to 5 cm, and 3 of 5 to 7 cm. Tumors were located in the first Ⅱ, Ⅲ, Ⅴ, Ⅵ, Ⅶ liver segment. The average operation time was 92min (80-126min), mean intraoperative blood loss was 81ml (20 ~ 200ml) and average postoperative hospitalization day was 8d (7 ~ 9d). All the patients recovered and fed on the 1st day after operation, After complications, all discharged. Conclusion Laparoscopic Ligasure knife resection of liver cancer is suitable for the resection of peripheral liver cancer. It has the advantages of simple operation, less bleeding, less trauma, quick recovery after operation and safe and effective.