腹腔镜肝切除术治疗肝癌的疗效观察

目的比较腹腔镜肝切除术与开腹肝切除术治疗原发性肝癌的疗效。方法回顾性分析我科2009年1-12月收治的68例原发性肝癌患者，其中28例行腹腔镜肝切除术（腔镜组），40例行开腹肝切除术（开腹组）。比较两组患者围手术期情况及术后三年生存率。结果两组患者均无住院期间死亡。腔镜组的手术时间高于开腹组，但肛门排气时间、引流管留置时间和住院时间明显低于开腹组（P〈0．05）。两组患者的术后并发症发生率、3年肿瘤复发率及生存率均无明显差异（P〉0．05）。结论腹腔镜肝切除术安全可行，较传统开腹肝切除术微创、经济，且远期疗效无明显差异。

A comparative study of laparoscopic hepatectomy and open hepatectomy in the treatment of hepatocellular carcinoma

Objective To evaluate laparoscopic hepatectomy （LH） versus open hepatectomy （OH） in the treatment of hepatocellular carcinoma. Methods Sixty-eight hepatocellular carcinoma patients were enrolled and grouped into LH group（28 cases）versus OH group （40 cases） in this retrospective study. Perioperation and three-years survival rates were compared. Results No death occurred during the hospitalization period in this study. The operation time of LH group was longer than that of OH group, while the time of flatus, drainage tube indwelling time, hospital stay of LH group were all significantly lower than those of OH group. There were no statistic difference between LH group and OH group in complication occurrences, three-years tumor recurrence rates and survival rates. Conclusion LH may be a safe and less invasive, more economy option compared with OH, with no differences in patients long term survival.