腹腔镜精准肝切除术治疗原发性肝癌的临床效果

目的探究腹腔镜精准肝切除术治疗原发性肝癌的临床效果。方法选择2019年1月—2020年6月期间在医院接受腹腔镜肝切除术治疗的80例原发性肝癌患者作为实验分析对象,依据手术治疗方案的不同将患者分为腹腔镜常规肝切除组(对照组)40例和腹腔镜精准肝切除组(观察组)40例,对两组患者手术各项指标、手术前后肝功能指标改善情况及术后并发症发生率进行对比分析。结果观察组患者手术时间明显长于对照组,组间比较进行t检验,差异具有统计学意义(P<0.05);观察组患者术中出血量及术中输血量均少于对照组患者,术后恢复时间明显短于对照组患者,组间比较进行t检验,差异具有统计学意义(P<0.05);术后,两组患者ALT、AST、ALB及TBIL水平均显著降低,组内比较进行t检验,差异具有统计学意义(P<0.05),观察组患者ALT、AST、ALB及TBIL水平降低幅度显著大于对照组患者,组间比较进行t检验,差异具有统计学意义(P<0.05);观察组患者术后并发症发生率为10.00%,对照组患者术后并发症发生率为27.50%,组间比较进行χ2检验,差异具有统计学意义(χ2=4.021;P=0.045)。结论与腹腔镜常规肝切除术比较,腹腔镜精准肝切除术操作精细,手术时间相对较长,患者术中出血量更少,术后恢复时间更短,能够最大限度保护患者的肝脏,减低患者术后并发症发生率,提高手术治疗效果,改善患者预后。

The Clinical Effect of Laparoscopic Precise Hepatectomy in the Treatment of Primary Liver Cancer

Objective To explore the clinical effect of laparoscopic precision hepatectomy in the treatment of primary liver cancer.Methods From January 2019 to June 2020 in our hospital during laparoscopic liver resection treatment of 80 cases of primary liver cancer patients as experimental analysis object,based on different patients divided into laparoscopic surgery treatment routine liver resection group(control group)and 40 cases of laparoscopic precision liver resection group(observation group)and 40 cases,surgery in patients with two groups of each index,index of liver function before and after operation and postoperative complications were analyzed.Results The operation time in the observation group was significantly longer than that in the control group,and the t test was performed for the comparison between groups,which was significant(P<0.05).The amount of intraoperative blood loss and intraoperative blood transfusion in the observation group was less than that in the control group,and the postoperative recovery time was significantly shorter than that in the control group.After surgery,the levels of ALT,AST,ALB and TBIL in the two groups were significantly reduced,and the intra-group t-test was performed,which was significant(P<0.05).The reduction of ALT,AST,ALB and TBIL in the observation group was significantly greater than that in the control group,and the inter-group t-test was significant(P<0.05).The incidence of postoperative complications in the observation group was 10.00%,while that in the control group was 27.50%.Two tests were conducted for comparison between groups,showing a significant difference(χ2=4.021,P=0.045).Conclusion compared with routine laparoscopic hepatectomy,precision of laparoscopic liver resection operation precision,operating time is relatively long,patients with less intraoperative blood loss,postoperative recovery time is shorter,can maximum limit to protect the patient's liver,patients with reduced incidence of postoperative complications and improve the effect of surgical treatment and improve the prognosis of patients.