腹腔镜与开放式切除术治疗肝癌疗效比较

目的：探讨腹腔镜（Laparoscopic Hepatectomy，LH）与开放式切除术（Open Hepatectomy，OH）治疗肝癌的疗效比较。方法：选取2009年5月～2012年5月我科治疗的肝癌患者64例，随机分为LH组（腹腔镜切除术组）和OH组（开放式切除术组），每组各32例。比较两组的手术时间与住院时间，术中失血量和输血量，肝癌复发率与不良反应发生率。结果：LH组患者的手术时间与住院时间、肝癌复发率与并发症发生率均低于OH组（P<0.01），差异显著。结论：腹腔镜切除术治疗肝癌较开放式切除术时间短，出血少，复发率低，并发症少，疗效满意，值得广泛运用。

Comparison of laparoscopic and open resection for hepatocellular carcinoma

Objective： Efficacy comparison of treatment of liver cancer was investigated between laparoscopic （laparoscopic hepatectomy, LH） and open surgery （open hepatectomy, OH）. Methods： 64 patients with hepatocellular carcinoma were randomly divided into the LH group （laparoscopic surgery group） and OH groups （open surgery group） from May 2009 to May 2012, 32 cases in each group. The operation time were compared with hospitalization time, intraoperative blood loss and blood transfusion, cancer recurrence rate and incidence of adverse reactions. Results： LH group of patients with operative time and hospital stay, cancer recurrence rate and complication rate than OH group （P〈0.01）, were significantly different. Laparoscopic liver resection compared with open surgery a short time, less bleeding, recurrence rate, fewer complications, results were satisfactory, worthy of extensive application.