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目的探讨手助腹腔镜下脾切除联合射频消融治疗肝癌的效果及优势。方法 21例肝癌患者在全麻下行手助腹腔镜下脾切除术联合肝癌射频消融术治疗,术中取病理活检。结果本组患者手术均顺利完成。术中超声共发现34个肿瘤,同时胆囊切除者5例。平均手术时间186 min,平均总出血量198.5 mL,术后平均住院11.4 d。术后无严重并发症,无死亡。结论手助腹腔镜下脾切除术联合肝癌射频消融术具有微创意义,安全可行,可降低手术风险及难度,缩短手术时间。
Objective To investigate the effect and advantage of hand-assisted laparoscopic splenectomy combined with radiofrequency ablation in the treatment of liver cancer. Methods Twenty-one patients with hepatocellular carcinoma underwent hand-assisted laparoscopic splenectomy and radiofrequency ablation of liver cancer under general anesthesia. Biopsy was performed intraoperatively. Results The patients were successfully completed. Intraoperative ultrasound found a total of 34 tumors, while 5 cases of cholecystectomy. The average operation time was 186 min, the average total blood loss was 198.5 mL, and the average postoperative hospital stay was 11.4 days. No serious complications after surgery, no death. Conclusion Hand-assisted laparoscopic splenectomy combined with radiofrequency ablation of liver cancer has the advantages of minimally invasive, safe and feasible, which can reduce the risk and difficulty of operation and shorten the operation time.