| 王军保.腹腔镜下精准肝切除的临床应用价值分析[J].浙江中西医结合杂志,2017,27(7): |
| 腹腔镜下精准肝切除的临床应用价值分析 |
| Analysis of clinical application value of laparoscopic precise hepatectomy |
| 投稿时间：2016-10-17 修订日期：2017-04-19 |
| DOI： |
| 中文关键词: 腹腔镜 精准肝切除 肝癌 |
| 英文关键词:Laparoscopy Precise Liver Resection Liver Cancer |
| 基金项目: |
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| 摘要点击次数: 1103 |
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| 中文摘要: |
| 目的 探讨原发性肝癌分别行腹腔镜下精准肝切除与开腹常规肝切除治疗的差异。 方法 选取2012年1月～2015年1月来我院住院准备行手术治疗的78例原发性肝癌患者作为研究对象,并随机分为两组,对照组给予开腹常规肝切除治疗,观察组给予腹腔镜下精准肝切除治疗,比较两组患者术中情况、术后并发症、肝功能等基本情况的差异。 结果 两组患者手术时间无明显差异,其中观察组患者术中出血、输血及肝门阻断患者的人数少于对照组(P＜0.05)。两组患者术前肝功能相关指标(AST、ALT、ALB、TBIL)无明显差异,术后肝功能指标较术前均有所改善(P＜0.05),其中观察组患者术后肝功能指标改善更为明显(P＜0.05)。观察组较对照组术后并发症发生率更低,分别为12.8%对23.1%(P＜0.05)。观察组患者术后携带胃管时间、携带引流管时间、术后住院时间显著少于对照组患者(P＜0.05),而观察组患者住院花费更高(P＜0.05)。 结论 采用腹腔镜下精准肝切除治疗原发性肝癌安全、可靠,创伤小,术后恢复更早,值得临床上进一步深究。 |
| 英文摘要: |
| Objective To investigate the difference of the treatment of primary hepatic carcinoma by laparoscopic resection of liver resection and open hepatectomy. Methods 78 patients from January 2012 to January 2015 in our hospital for surgical treatment of primary liver cancer as the research object, and randomly divided into two groups, the control group was given routine liver resection in the treatment of open surgery, observation group was given laparoscopic resection of precise liver, differences in the basic situation of two groups were compared intraoperative and postoperative complications of liver function etc.. Results There was no significant difference in operation time between the two groups. The number of patients in the observation group was less than that in the control group (P < 0.05). Two groups of patients before liver function indexes (AST, ALT, ALB, TBIL) had no significant difference in postoperative compared with preoperative liver function index were improved (P < 0.05), which improve the liver function of patients in the observation group was more significant (P < 0.05). Compared with the control group, the incidence of postoperative complications was lower in the observation group than in the control group, which was 12.8% to 23.1% (P < 0.05). With time, carrying the nasogastric tube drainage time, postoperative hospitalization time was significantly less than that of the control group of patients in the observation group (P < 0.05), while the patients in the observation group hospitalization costs more (P < 0.05). Conclusion laparoscopic precise liver resection for hepatocellular carcinoma is safe and reliable, small trauma, early postoperative recovery, which is worthy of further study. |
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