56岁的陈伯因尿路结石前往医院就诊,在CT检查中意外发现肝脏恶性肿瘤1。患者有20余年慢性乙肝病史1,肿瘤位于肝脏左外叶,属于早期病变1。深圳市第三人民医院肝脏外科团队随后为其实施了单孔腹腔镜精准肝切除术,仅在肚脐处开一个3-4厘米的小孔即完成了肿瘤根治切除1。术中出血量少,整台手术过程流畅1。
术后病理检查结果确认为中分化肝细胞癌,肿瘤已完整切除,切缘未见癌细胞1。与传统肝切除手术需要住院约一周不同,采用单孔微创技术的患者多数能在3-4天内出院1。陈伯在术后第四天顺利出院返乡1。
A 56-year-old patient named Chen sought medical treatment for urolithiasis but received unexpected news during a CT scan: he had a malignant liver tumor 1. The hepatic surgery team at Shenzhen Third People's Hospital subsequently performed a single-port laparoscopic hepatic resection, accessing the operative field through a single 3-4 centimeter incision made at the umbilicus to achieve complete tumor removal 1. The patient had a medical history spanning more than 20 years of chronic hepatitis B, and the tumor was located in the left lateral section of the liver, representing an early-stage lesion 1.
Postoperative pathology confirmed the diagnosis as moderately differentiated hepatocellular carcinoma with complete tumor excision and no cancer cells detected at the surgical margins 1. The minimally invasive single-port technique resulted in minimal intraoperative bleeding and a smooth surgical course 1. In contrast to traditional hepatic resection procedures that typically require approximately one week of hospitalization, most patients undergoing single-port minimally invasive surgery are discharged within 3-4 days 1. Chen was successfully discharged on the fourth day after surgery 1.
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