복강경 보조 술식에 의한 대량 간 절제술
Laparoscopy-assisted Major Liver Resection
민석희, 연구월, 김영우, 박성은,
소속 상세정보
민석희 ( )
이화여자대학교 의과대학 외과학교실
연구월 ( )
이화여자대학교 의과대학 외과학교실
김영우 ( )
이화여자대학교 의과대학 외과학교실
박성은 ( )
이화여자대학교 의과대학 외과학교실
KMID : 0978820020050010075
Abstract
Laparoscopic surgery is being continuously developed and its indications have been widened to variable organs and disease. Recently, laparoscopic liver resection has been reported in a few series. We experienced a major liver resection that was
performed with laparoscopic assistance. The case was a 44 years old man who had DM and cholecystectomy history 30 years ago. The patient was diagnosed as the multiple impacted intrahepatic duct stones and common bile duct stones. Preoperative
laboratory
findings, including the liver function test, were normal. We planed the left lobectomy of liver due to multiple impacted stones at medical and lateral segment of the left liver. First, 10㎜ trocar inserted at right upper subcostal and
infraumbilical
area for instruments and camera. Resection of liver was also performed through separated mini laparotomy incision(10㎝) at right subcostal area. The used instruments were electro-cautery, Ultrasonics and Ligasure, etc. The patient's state was
very
stable during intraoperative and postoperative period and discharged at postoperative 18th day without any complication and sequale. Laparscopy-assisted major liver resection could be applied in major liver resection. However, we should be
cautions in
deciding the indication of this procedure, until it proves to be safe.
키워드
복강경 수술; 대량 간 절제; Laparoscopy; Major liver resection;
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