完全腹腔镜下肝癌切除术的临床疗效分析(附88例报告)

目的:分析完全腹腔镜下肝癌切除术与传统开腹肝癌切除术的临床疗效。方法:回顾分析2014年12月至2015年12月为205例患者行肝切除术的临床资料,其中腹腔镜组88例,常规开腹组117例。对比分析两组患者基本资料、手术时间、术中失血量、术后下床活动时间、住院时间及并发症发生率。结果:手术均顺利完成,两组术中出血量[(233.6±56.6)ml vs.(326.6±64.5)ml,P0.05]、手术时间[(121.4±26.4)d vs.(150.5±48.3)min,P0.01]、住院时间[(4.8±0.7)d vs.(6.8±1.9)d,P0.05]差异有统计学意义。结论:完全腹腔镜下肝癌切除术具有手术时间短、术后康复快的优点,值得推广应用。

Clinical efficacy of completely laparoscopic hepatectomy for 88 cases of hepatic cancer

Objective:To analyze the efficacy of laparoscopic hepatectomy for liver cancer comparing with traditional open hep -atectomy.Methods:The clinical data of 205 cases of liver cancer were retrospectively analyzed from Dec .2014 to Dec.2015,88 cases were in laparoscopic group ,117 cases were in control group .The two groups were compared in basic materials ,operative time ,intraoper-ative blood loss,time of postoperative ambulation ,surgical complications and hospitalization time .Results:All patients in laparoscopic group were successfully operated without converting to laparotomy ,the laparoscopic group was associated with less blood loss [ ( 233 .6 ±56.6) ml vs.(326.6 ±64.5) ml,P<0.05],shorter operative time [(121.4 ±26.4) d vs.(150.5 ±48.3) min,P<0.01] and hospital stay [(4.8 ±0.7) d vs.(6.8 ±1.9) d,P<0.05] than control group.Conclusions:Completely laparoscopic hepatectomy has the advantages of shorter operative time ,less intraoperative blood loss and faster postoperative recovery ,and is worthy of popularization .