Abstract: 【Abstract】〓Objective〓To summarize up the clinical experience on treatment of liver cancer through laparoscopic radiofrequency ablation(LRFA). Methods〓A total of 26 cases were included in the study from October 2010 to March 2014. Of all patients with Child?鄄Pugh class A to B, the tumors were located in the liver Ⅲ,Ⅳ,Ⅴ,Ⅷ segments or diaphragm and adjacent gallbladder gastric cavity viscera,and had the size of 2.2 to11.0 cm in diameter with single lesion in 18 cases, multifocal lesion in 8 cases (a total of 39 lesions). Results〓The LRFA operation was successfully completed in all cases without transferring operation. Operation time was 12 to 112 min, the average of 48 min. The operative complications included ascites in 2 cases, pleural effusion in 1 case. No postoperative bleeding, liver function failure, bile duct injury happened. The ultrasound and CT scan findings showed tumor necrosis in 17 cases, partial liquefaction in four cases and portal venous tumor emboli. Conclusion LRFA has the advantages of easy operation and less complications, and is a selective surgery approach for liver cancer, especially for specific parts of the liver cancer.

Key words: Laparoscope, Radiofrequency ablation, Liver cancer

摘要： 【摘要】〓目的〓探讨腹腔镜下射频消融(LRFA)治疗肝癌的效果。方法〓回顾性分析2010年10月~2013年12月,采用LRFA方法治疗各类肝癌26例,肿瘤位于肝脏Ⅲ、Ⅳ、Ⅴ、Ⅷ段或膈顶以及邻近胆囊胃肠等空腔脏器部位,直径2.2~11.0 cm,单病灶18例,多病灶8例,共39个病灶。肝功能Child A或B级。结果〓26例均顺利完成LRFA治疗,消融时间12~112 min,平均48 min;术后出现腹水2例,胸腔积液1例,无肝衰竭、出血、胆道损伤等并发症。术后1个月B超、CT扫描检查,17例肿瘤不同程度坏死,4例部分液化,5例发现多发病灶及门静脉癌栓消融无效。结论〓LRFA易于操作,并发症少,对特殊部位的肝癌是一种可选择的治疗手段。

关键词: 腹腔镜, 射频消融, 肝癌