Hépatectomies sous laparoscopie
作者： L Biertho , A Waage , M Gagner
DOI: 10.1016/S0003-3944(01)00709-X
关键词: Gynecology 、 Medicine 、 Hepatic tumor 、 Endoscopic surgery
摘要: Resume But de l’etude : Realiser une mise au point des indications et techniques resections hepatiques sous laparoscopie, evaluer les resultats cette technique par revue la litterature internationale. Revue litterature : Pres 200 hepatectomies laparoscopie ont ete rapportees entre 1991 2001. Cela represente 102 tumeurs malignes, 84 benignes. Le taux global conversion est 7 % (13/186). morbidite 16,1 %, dont deux cas d’embolies gazeuses probables (1,1 %). mortalite 0,54 % (1/186 patients). La duree moyenne d’hospitalisation 7,7 jours. Conclusion : Les sont realisables avec un comparables aux interventions laparotomie, pour patients soigneusement selectionnes. Des etudes prospectives randomisees cependant necessaires confirmer ces resultats, en particulier resection metastases ou malignes. progres seront probablement lies developpement nouvelles nouveaux instruments.
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