腹腔镜肝部分切除治疗肝血管瘤的临床疗效分析

【目的】观察腹腔镜下肝部分切除治疗肝血管瘤的临床疗效。【方法】对本院33例肝血管瘤患者采用传统的开腹手术治疗（对照组），另33例肝血管瘤患者采用腹腔镜肝部分切除术治疗，比较两种手术方式的手术情况和术后情况。【结果】两组患者手术均顺利完成，观察组手术切口为（4．5±1．2）cm，明显小于对照组（18．6±3．4）cm；观察组平均手术时间为（41．3±3．6）min，明显短于对照组（54．2±2．6）min；观察组术中出血量和术后引流量为（112．3±23．5）mL和（116．4±22．6）mL，明显少于对照组（208．6±13．6）ml。和（224．2±31．7）mL；观察组进食时间和住院时间为（1，5±0．2）d和（7．2±1．4）d，明显短于对照组（3．7±1．6）d和（13．6±2．3）d，且差异均有显著性（P〈0．05）；观察组术后并发症发生率为3．03Voo（1／33），明显低于对照组21．21％（7／33），且两组相比较差异有显著性（P〈0．05）。【结论】腹腔镜肝部分切除优势突出，对肝血管瘤患者创伤小，有助于患者早日出院，其临床意义显著。

Analysis of Clinical Efficacy of Laparoscopic Partial Hepatectomy for the Treatment of Hepatic Hemangioma

Objective] To observe the clinical efficacy of laparoscopic partial hepatectomy for the treat ment of hepatic hemangioma. Methods] A total of 33 patients with hepatic hemangioma（control group） underwent traditional open operation surgery, while other 33 patients with hepatic hemangioma （observation group） underwent laparoscopic partial hepatectomy. The results of operation were compared between two groups. Results] All the patients in two group operated successfully. The incision size of observation group was 4.5±1.2cm which was obviously smaller than that of control group. The operation time of observation group was （41.3±3.6）min which was obviously shorter than that of control group. Introperative bleeding volume and postoperative drainage volume in observation group were （112.3±23.5）mL and （116.4±22.6） mL respectively, which were obviously less than those in control group. The eating time and hospitalization time in observation group were （1.5-0.2）d and （7.2±1.4）d respectively, which were obviously shorter than those in control group, and there was significant difference between two groups（ P 〈0.05）. The incidence of complications in observation group was 3.03% （1/33）, which was obviously lower than that in control group （21.21%, 7/33）（ P 〈0.05）. Conclusion] Laparoscopic partial hepatectomy has prominent advantages and small trauma for patients with hepatic hemangioma, which are helpful the early discharge of patients. Therefore, it has high clinical significance.