The application of laparoscopy in biliary reconstruction and rehabilitation after transection injury of biliary duct / 中华外科杂志

<p><b>OBJECTIVE</b>To discuss the feasibility of biliary reconstruction and rehabilitation after transection injury of biliary duct by laparoscopy.</p><p><b>METHODS</b>The clinical data of 24 cases receiving biliary reconstruction after transection injury of biliary duct by laparoscopy were analyzed retrospectively from August 2002 to April 2008, including operation indications, contraindications, related operation skills and so on. In these 24 cases, the reasons of transection of biliary duct as followed: 15 cases were pancreaticoduodenectomy, 6 cases were resection of the choledochal cyst, 1 case was resection of high cholangiocarcinoma, 1 case was cholecystectomy and 1 case was resection of gastric cancer.</p><p><b>RESULTS</b>Biliary reconstruction and rehabilitation was successfully completed in 24 cases by laparoscopy. There was 1 case of bile leakage and no duct stenosis complications.</p><p><b>CONCLUSIONS</b>Biliary reconstruction and rehabilitation by laparoscopy was feasible and safe procedure, has a high successful rate, and deserves further clinical trials in hospitals.</p>

Analysis of the effect of laparoscopic hepatectomy on 61 cases of primary liver cancer / 中华外科杂志

<p><b>OBJECTIVE</b>To explore the feasibility and the effect of laparoscopic hepatectomy for primary liver cancer(PLC).</p><p><b>METHODS</b>A retrospective study on 61 cases of laparoscopic hepatectomy for PLC was made between November 2002 and June 2007, among which there were 49 male and 12 female, aged from 14 to 71 years. All patients were diagnosed as PLC by type-B ultrasonic, CT or MRI, and APF.</p><p><b>RESULTS</b>Fifty-six patients were completed laparoscopically successfully. Five cases underwent conversion to open operation because of hemorrhage. The mean operative time was 60 min (30-150 min). The mean blood loss was 450 ml (100-2000 ml). The mean hepatic portal block time was 20 min (15-30 min). All the patients had excellent recovery without any postoperative surgical complications. The patients were mobilized out of the bed in 24 hours. Oral intake of food started in 1 to 3 days. The average postoperative hospital stay was 6.6 d (5-10 d).</p><p><b>CONCLUSION</b>Laparoscopic hepatectomy for PLC is safe and feasible by using hepatic portal block instrument.</p>