维普中文期刊产品整合服务

Successful robotic radical resection of hepatic echinococcosis located in posterosuperior liver segments

查看全文 作　　者：Zhi-Ming [1]Zhao;Zhu-Zeng [1]Yin;Yuan [2]Meng;Nan [1]Jiang;Zhi-Gang [1]Ma;Li-Chao [1]Pan;Xiang-Long [1]Tan;Xiong [2]Chen;Rong [1]Liu 高影响力作者 机构地区：[1]The Second Department of Hepatopancreatobiliary Surgery,The First Medical Center,Chinese People’s Liberation Army General Hospital,Beijing 100853,China;[2]The Department of Hepatobiliary Surgery,The People’s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,Xinjiang Uygur Autonomous Region,China高影响力机构 出　　处：《World Journal of Gastroenterology》索引2020年第26卷第21期,共8页高影响力期刊 摘　　要：BACKGROUND Radical resection is an important treatment method for hepatic echinococcosis.The posterosuperior segments of the liver remain the most challenging region for laparoscopic or robotic hepatectomy.AIM To demonstrate the safety and preliminary experience of robotic radical resection of cystic and alveolar echinococcosis in posterosuperior liver segments.METHODS A retrospective analysis was conducted on the clinical data of 5 patients with a median age of 37 years(21-56 years)with cystic and alveolar echinococcosis in difficult liver lesions admitted to two centers from September to December 2019.The surgical methods included total pericystectomy,segmental hepatectomy,or hemihepatectomy.RESULTS Among the 5 patients,4 presented with cystic echinococcosis and 1 presented with alveolar echinococcosis,all of whom underwent robotic radical operation successfully without conversion to laparotomy.Total caudate lobectomy was performed in 2 cases,hepatectomy of segment Ⅶ in 1 case,total pericystectomy of segment Ⅷ in 1 case,and right hemihepatectomy in 1 case.Operation time was 225 min(175-300 min);blood loss was 100 mL(50-600 mL);and postoperative hospital stay duration was 10 d(5-19 d).The Clavien-Dindo complication grade was Ⅰ in 4 cases and Ⅱ in 1 case.No recurrence of echinococcosis was found in any patient at the 3 mo of follow-up.CONCLUSION Robotic radical surgery for cystic and selected alveolar echinococcosis in posterosuperior liver segments is safe and feasible. 关 键 词：Cystic echinococcosis Alveolar echinococcosis Robotic surgery Posterosuperior segment Caudate lobe LIVER
相关文献

参考文献(26)

引证文献(13)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费