摘要
目的比较腹腔镜肝脏肿瘤切除术(LH)与开腹肝脏肿瘤切除术(OH)的疗效。方法回顾性分析行肝脏肿瘤切除术93例临床患者资料,其中24例行LH(LH组)。69例行OH(OH组),比较分析2组术中、术后情况,近期及远期疗效。结果手术均顺利完成,2组患者在手术时间、术中出血量、切除肿瘤最大直径、肝功能恢复、肿瘤复发率、转移率及患者死亡率等指标的差异均无统计学意义(P>0.05),LH组在术后住院天数、进食时间、引流管留置时间、镇痛药使用率、术后并发症方面优于OH组,其差异有统计学意义(P<0.05);2组患者在术后第1、3、5天的ALT、AST、ALB、TBIL数值比较,其差异有统计学意义(P<0.05);2组远期疗效差异无统计学意义(P>0.05)。结论腹腔镜肝切除术近期疗效优于开腹组,其远期疗效与开腹组相当。
Objective To compare the clinical effect of laparoscopic hepatectomy for liver neoplasm with open hepatectomy.Methods This retrospective study enrolled ninety-three patients with hepatectomy.Twenty-four cases of laparoscopic hepatectomy（group LH）,Sixty-nine cases of open hepatectomy（group OH） for liver neoplasm were included.Two groups were for comparative analysis between intraoperative and postoperative situations,immediate and long term results.Results Surgery were smooth completed.There are no statistics significance in surgery time,blood lose,maximum diameter and excision way of neoplasm between two groups（P 0.05）,but group LH was superior to group OH in post-operative hospital stays,feeding time and indwelling time of drainage tube.It has statistics significance in analgesic usage and post-operative complications（P 0.05）.ALT,AST,ALB and TBIL of LH with OH were determined and compared at the first,third and fifth day and it had statistics significance（P 0.05）.Tumor recurrence rate,metastasis rate and mortality rate of two groups had no statistics significance（P 0.05）.Conclusion Short-term efficacy of laparoscopic hepatectomy is superior to open hepatectomy,long-term efficacy are similar.
出处
《宁夏医学杂志》
CAS
2013年第7期600-603,共4页
Ningxia Medical Journal
