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腹腔镜肝癌切除术与开放手术的疗效分析 被引量:10

Curative effect study of laparoscopic hepatectomy for liver cancer compared with open hepatectomy
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摘要 【目的】比较腹腔镜肝癌切除术与开放手术的疗效。【方法】2005年8月-2008年11月的14例腹腔镜肝癌切除术与39例开腹手术作对比。比较出血量、手术时间、拔管时间、住院时间、复发及转移情况。【结果】两组术中出血量、手术及进食时间相近。腹腔镜组术后无并发症,开腹组有9例并发症。短期疗效:腹腔镜组住院天数、拔管时间及镇痛药使用情况明显少于开腹组(P<0.05)。中期疗效:复发、转移两组差异无统计学意义。【结论】腹腔镜肝切除术近期疗效优于开腹组。 【Objective】 To study the effects of laparoscopic hepatectomy for liver cancer and compared with open hepatectomy.【Methods】 A comparison was made between 14 cases of laparoscopic hepatectomy for liver cancer and 39 cases of open hepatectomy from Aug,2005 to Nov,2008.The blood lost,the time of operation,extubation and length of stay,recurrence and metastasis were compared respectively.【Results】 Both groups presented a similar appearance in the blood lost,the operation andfood taking time.There were no operative complications in laparoscopic group,but 9 cases in the open group.The short-term effects: length of stay,extubation time and pain-killer used in laparoscopic group were significantly shorter than those in open group(P 0.05).The mid-term outcomes: recurrence and metastasis were not significantly different in two groups.【Conclusion】 The short-term effects in laparoscopic group were better than those in open group.
出处 《武警医学院学报》 CAS 2011年第4期269-271,共3页 Acta Academiae Medicinae CPAPF
关键词 腹腔镜 肝癌 肝切除 Laparoscopy Liver cancer Hepatectomy
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