10例单孔腹腔镜肝切除术单中心临床经验总结与分析

摘要/Abstract

摘要： 目的：总结分析10例单孔腹腔镜肝切除术的临床经验,探讨其安全性和可行性。
方法：分析蚌埠医科大学第一附属医院肝胆胰外科2024年8月至2025年7月完成的10例单孔腹腔镜肝切除术的临床资料。10例患者中,男性6例,女性4例,年龄38~60岁,平均（52.50±6.35）岁。其中肝血管瘤5例,肝细胞癌5例;病灶位于肝左叶6例,肝右叶3例,累及两叶1例。病灶最大直径2~6 cm,平均（4.22±1.65）cm。
结果：10例单孔腹腔镜肝切除术均顺利完成。10例患者平均手术时间（137.70±41.11）min,其中肝血管瘤患者（124.60±12.16）min,肝细胞癌患者（150.80±56.80）min;平均术中失血量（97.00±56.58）ml,其中肝血管瘤患者（84.00±50.30）ml,肝细胞癌患者（110.00±65.19）ml;平均术后住院时间（5.20±1.99）d,其中肝血管瘤患者（5.00±1.23）d,肝细胞癌患者（5.40±2.70）d。所有患者随访期间无发热、腹痛等不适症状,腹部切口均愈合良好,无红肿渗出。
结论：单孔腹腔镜肝切除术在严格筛选病例下具有安全可行、创伤小和恢复快等临床优势。通过优化装置和设计个体化切口有望提高单孔腹腔镜肝切除术的微创特性。

关键词: 单孔腹腔镜手术, 肝切除术, 肝细胞癌, 肝血管瘤

Abstract: Objective:To summarize and analyze the clinical experience of 10 cases of single-port laparoscopic hepatectomy, exploring its safety and feasibility.
Methods:A retrospective analysis was conducted on the clinical data of 10 cases of single-port laparoscopic hepatectomy performed in the Department of Hepatobiliary and Pancreatic Surgery of the First Affiliated Hospital of Bengbu Medical University from August 2024 to July 2025. Among the 10 patients, there were 6 males and 4 females, aged from 38 to 60 years, with an average age of (52.50±6.35) years. There were 5 cases of hepatic hemangioma and 5 cases of hepatocellular carcinoma; the lesions were located in the left lobe of the liver in 6 cases, the right lobe in 3 cases, and involved both lobes in 1 case. The maximum diameter of the lesions ranged from 2 to 6 cm, with an average of (4.22±1.65) cm.
Results:All 10 cases of single-port laparoscopic hepatectomy were successfully completed. The average operation time for the 10 patients was (137.70±41.11) minutes, with the group of hepatic hemangioma averaging (124.60±12.16) minutes and the group of hepatocellular carcinoma averaging (150.80±56.80) minutes. The average intraoperative blood loss was (97.00±56.58) ml, with the group of hepatic hemangioma averaging (84.00±50.30) ml and the group of hepatocellular carcinoma averaging (110.00±65.19) ml. The average postoperative hospital stay was (5.20±1.99) days, with the group of hepatic hemangioma averaging (5.00±1.23) days and the group of hepatocellular carcinoma averaging (5.40±2.70) days. During the follow-up period, all patients experienced no discomfort such as fever or abdominal pain, and their abdominal incisions healed well without redness or exudation.
Conclusions:Single-port laparoscopic hepatectomy has clinical advantages such as safety, feasibility, minimal trauma and rapid recovery in strictly selected cases. The minimally invasive characteristics of single-port laparoscopic hepatectomy can be improved by optimizing the device and designing individualized incisions.

Key words: Single-incision laparoscopy, Hepatectomy, Hepatocellular carcinoma, Hepatic hemangioma

游笑, 鲁正, 张登勇. 10例单孔腹腔镜肝切除术单中心临床经验总结与分析[J]. 肝癌电子杂志, 2026, 13(3): 84-88.

You Xiao, Lu Zheng, Zhang Dengyong. Summary and analysis of single-center clinical experience with 10 cases of single-port laparoscopic hepatectomy[J]. Electronic Journal of Liver Tumor, 2026, 13(3): 84-88.

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