HabibTM 4X在腹腔镜下肝血管瘤切除中的临床应用

摘要

目的：探讨双极射频设备 HabibTM 4X 在腹腔镜下肝血管瘤切除术中的临床应用。方法回顾性分析2010年10月～2014年12月在顺德区第一人民医院应用 HabibTM 4X 行腹腔镜肝血管瘤切除的16例患者的临床资料。结果16例患者均顺利完成完全腹腔镜手术，其中11例实施不规则肝切除，5例实施肝左外叶切除，无肝门阻断。平均手术时间（141±62）min（55～225 min），平均出血量（93±66）ml（20～250 ml），肿瘤平均直径（7．8±1．9）cm（5．6～12．5 cm）。围手术期无死亡病例。术后无出血、胆漏、腹腔脓肿、肝功能不全、肺部感染等手术相关并发症。16例患者平均随访12个月，均无肿瘤残留或复发。结论选择合适患者应用 HabibTM 4X 行腹腔镜下肝血管瘤切除是安全、可行、有效的。%Objective To evaluate the clinic use of bipolar radiofrequency device (HabibTM 4X)in total laparoscopic hepatectomy for liver hemangiomas. Methods From October 2010 to December 2014 , total laparoscopic hepatectomy for hemangiomas was performed with Habib TM 4X in 16 patients in our department. The clinical data were analyzed to evaluate the safety and feasibility of Habib TM 4X. Results The operations were completed successfully in all the patients without hepatic pedicle clamping , including local hepatectomy in 11 cases and left external lobe hepatectomy in 5 cases. The mean operative time was (141± 62)min (55~225 min), mean blood loss was (93±66) ml (20~250 ml). The average tumor diameter was (7.8±1.9) cm (5.6~12.5 cm). No patient died during hospital stay. No postoperative complications such as bleeding from liver resection margins, bile leakage, intra-abdominal abscess, liver failure were found. During the mean follow-up of 12 months , no tumor residual or recurrence happened. Conclusions HabibTM 4X is a feasible, safe and effective device using in laparoscopic hepatectomy for liver hemangiomas.