腹腔镜肝切除治疗肝脏恶性肿瘤的临床效果

目的：探讨腹腔镜肝切除治疗肝脏恶性肿瘤的临床效果。方法按照手术方式不同将98例肝脏恶性肿瘤患者分为实验组（腹腔镜手术）50例和对照组（开腹手术）48例，比较2组近期疗效。结果实验组患者术中出血量、术后进食时间及住院时间均明显低于对照组，差异有统计学意义（P＜0．05）；实验组患者术中输血率、术后使用杜冷丁率以及术后并发症发生率均明显低于对照组，差异有统计学意义（P＜0．05）。2组患者术后1 d WBC、ALT、AST水平均显著升高，与同组术前比较，差异有统计学意义（P＜0．05）；2组患者术后5 d WBC、ALT、AST水平均显著下降，与同组术后1 d比较，差异有统计学意义（P＜0．05）；实验组患者术后5 d WBC、ALT、AST水平均显著低于对照组，差异有统计学意义（P＜0．05）。结论腹腔镜肝切除治疗肝脏恶性肿瘤创伤小、术中出血量低、使用杜冷丁率低、术后恢复时间短、并发症少，近期疗效显著，可作为临床优选治疗方案。

Clinical Effects of Laparoscopic Hepatectomy for Hepatic Malignant Tumors

Objective To explore the clinical effects of laparoscopic hepatectomy for hepatic malignant tumors .Methods 98 cases of hepatic malignant tumors were divided into the experiment group (50 cases,laparoscopic surgical procedures ) and the control group(48 cases,open surgery).The clinical efficacy were compared.Results The intraoperative blood loss,the eating time,hospital stay of the experiment group were lower than those of the control group (P<0.05);The intraoperative blood transfu-sion rate,the rate of postoperative use of demerol ,complication incidence of the experiment group were lower than those of the control group(P<0.05);The levels of WBC,ALT,AST 1 d after treatment were higher than before treatment (P<0.05);The levels of WBC,ALT,AST 5 day after treatment were lower than 1 d after treatment(P<0.05);The levels of WBC,ALT,AST 5 day after treatment of the experiment group were lower than those of the control group (P<0.05).Conclusion Laparoscopic hepatectomy for hepatic malignant tumors has minimal trauma ,low intraoperative blood loss ,low use of demerol rate ,short postop-erative recovery time ,few complications ,the recent curative effect is distinct ,it can be used as a clinical optimal treatment plan .