Application of right hepatic parenchymal transection-first approach during laparoscopic resection of benign occupation lesions in superior segment of right hepatic posterior
Application of right hepatic parenchymal transection-first approach during laparoscopic resection of benign occupation lesions in superior segment of right hepatic posterior
Objective To explore the clinical application value of right hepatic parenchymal transection-first approach during laparoscopic resection of benign occupation lesions in superior segment of right hepatic posterior.Methods From January 2022 to January 2024,the relevant clinical data were retrospectively reviewed for 21 laparoscopic resections for benign occupation lesions in superior segment of right hepatic posterior by right hepatic parenchymal transection-first approach.Operative duration,intraoperative volume of blood loss,postoperative hemorrhage,bile leakage and postoperative hospital stay were recorded.Results There was no instance of intraoperative blood transfusion,conversion into laparotomy or severe complications.The pathological diagnoses were hepatic hemangioma(n=11),focal nodular hyperplasia(n=6)and hepatic adenoma(n=4).Average operative duration of laparoscopic group was(310±10)min,average volume of blood loss(300±87)mL and postoperative hospitalization stay(7±3)day.Conclusion Right hepatic parenchymal transection-first approach for laparoscopic resection of benign occupation lesions in superior segment of right hepatic posterior is both safe and efficacious.It may shorten operative duration,boost operative safety and lower operative difficulty.A wider popularization is worthwhile.
关键词
肝脏良性占位性病变/肝右后上区/腹腔镜/右侧入路/肝实质优先
Key words
Benign hepatic occupation/Superior segment of right hepatic posterior/Laparoscopy/Right side approach/Hepatic parenchymal transection-first
维普
万方数据