摘要
目的探讨手助腹腔镜治疗右叶肝癌的临床疗效。方法选取2011年1月-2014年9月我院收治的45例右叶肝癌患者作为研究对象,其中27例予以手辅助腹腔镜下右肝部分切除术,18例予以全腹腔镜下手术。结果手辅助组手术时间明显少于腹腔镜组,差异具有统计学意义（P〈0.05）;术中出血量及手术中转率均低于腹腔镜组,差异具有统计学意义（P〈0.05）;手辅助组术后住院天数及术后1年生存率相比腹腔镜组差异未见明显统计学意义（P〉0.05）。结论手助腹腔镜下右叶肝癌切除安全可行,相比全腹腔镜右侧肝癌切除具有手术时间短、出血量少等优点,但短期生存率未见明显提高。
Objective To investigate the clinical efficacy of hepatectomy for liver cancer of right lobe with hand-assisted laparoscopic surgery（ HALS）. Methods 45 cases with liver cancer of right lobe treated in our hospital from January 2011 to September 2014 were selected as study objects. There were 27 cases treated with hand-assisted laparoscopic surgery,and 18 cases treated with pure laparoscopic surgery. Results The operation time in hand assisted group was significantly less than that of the laparoscopic group,and the difference was statistically significant（ P〈0. 05）. The operative blood loss and the convertion rate of the HALS group were lower than that of the laparoscopic group,and the difference was statistically significant（ P〈0. 05）.There was no statistical difference of the postoperative hospital stay and the 1-year survival rate between the two groups（ P〉0. 05）. Conclusion The hand-assisted laparoscopic right hepatectomy is safe and feasible,which has shorter operative time,less operative blood loss compared to the pure laparoscopic right hepatectomy,but the short-term survival rate is not significantly improved.
出处
《中国现代手术学杂志》
2016年第2期81-83,共3页
Chinese Journal of Modern Operative Surgery
