摘要
目的探讨腹腔镜肝切除的安全性及有效性.方法收集2016年6月~2019年7月于安徽医科大学第一附属医院行腹腔镜肝切除患者的临床病理资料共40例,同时纳入40例同期行开腹腹腔镜肝切除的患者作为对照组,比较两组的手术时间、失血量、术后并发症、二次手术、住院期间死亡率等指标.结果与开腹组进行对比,腹腔镜组在切口长度(6.29 cm vs 20.31 cm)、失血量(98.62 ml vs 165.78 ml)、术后住院时间(7.62 d vs 12.78 d)、术后禁食时间(1.48 d vs 2.17 d)术后并发症发生率(5%vs 17.5%)等方面均有明显优势(均P<0.05);两组手术时间方面,开腹组明显优于腹腔镜组(192.58 min vs 127.44 min),而在围手术期肝功能指标,术后1年生存率等方面差异无统计学意义(均P>0.05).结论腹腔镜肝切除与开腹手术肝切除相比,其安全性及有效性几无二致,且近期疗效相对较好,值得临床推广.
Objective To explore the safety and effectiveness of laparoscopic liver resection.Methods Collect the clinico-pathological data of 40 patients who undenvent laparoscopic liver resection in the First Affiliated Hospital of Anhui Medical University from June 2016 to July 2019,and included them at the same time 40 patients who underwent open laparoscopic liver resection at the same time served as the control group,and compared the two groupszoperation time,blood loss,postoperative complications,secondary operations,and mortality during hospitalization.Results compared with the open group In the laparoscopic group,incision length(6.29 cm vs 20.31 cm),blood loss(98.62ml vs 165.78ml),postoperative hospital stay(7.62d vs 12.78d),postoperative fasting time(1.48d vs 2.17d)The incidence of post-complication(5%vs 17.5%)has obvious advantages(all P<0.05);in terms of operation time of the two groups,the laparotomy group is significantly better than the laparoscopic group(192.58min vs 127.44min),while There was no significant difference in liver function indexes during the perioperative period and the 1-year survival rate after operation(all P>0.05).Conclusion Compared with open surgical liver resection,laparoscopic liver resection has almost the same safety and effectiveness,and the short-term effect is relatively good,which is worthy of clinical promotion.
作者
陈可
汪正广
CHEN Ke;WANG Zheng-guang(Department of General surgery,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)
出处
《肝胆外科杂志》
2021年第6期416-419,共4页
Journal of Hepatobiliary Surgery
基金
青年培育基金(2019kjl9)。
关键词
原发性肝细胞癌
腹腕镜肝切除
primary hepatocellular carcinona
laparoscoic hepatectomy
