Recent Trends of Laparoscopic Surgery In National Hospitals. (I). Laparoscopic Hepatectomy for Hepatocellular Carcinoma.

概要

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Laparoscopic hepatectomy is a good indication of the treatment for hepatocellular carcinoma, because most of the patients with hepatocellular carcinoma are in bad condition. However, this therapy had been carried out in only 72 cases up to December 31, 1997, because of many complications such as gas embolism, bleeding and bile duct injury. Only easy lateral segmentectomy and partial hepatectomy for the tumor near the surface of the liver have been perform and done in this method according to the fourth survey of Japan Society for Endoscopic Surgery.We applied a microwave coagulation needle oriented for a deep lesion to coagulate the surrounding tissues of the tumor. A wide indication of laparoscopic hepatectomy could be made in this technique, which made the direction of insertion free and control of the depth of coagulation easy. The prognosis of the seven patients to whom applied this technique was remarkably good without any serious complication.We hope that safety of laparoscopic hepatectomy will be established and this method will apply to many patients with hepatocellular carcinoma.
一般社団法人国立医療学会の論文