腹腔镜肝部分切除术与开放式肝部分切除术效果比较

目的评估腹腔镜肝部分切除术与开放式肝部分切除术的临床效果。方法对洛阳市中心医院收治的78例肝血管瘤患者为研究对象,研究时间2014年3月—2017年3月,收集所有患者的临床资料,并对相关数据进行回顾性分析,其中,应用开放式肝部分切除术进行治疗的患者共有30例,设为对照组,应用腹腔镜肝部分切除术进行治疗的患者共有48例,设为观察组,对两组手术相关指标进行评价、分析,评价腹腔镜手术和开放手术应用价值。结果两组患者手术时间、术中总出血量、输血率,差异无统计学意义(P>0.05);观察组患者开始进食时间、镇痛药物使用率、住院时间、并发症发生率与对照组,差异有统计学意义(P<0.05);观察组复发率、死亡率与对照组,差异无统计学意义(P>0.05)。结论腹腔镜肝部分切除术的临床治疗效果优于开放式肝部分切除术,能有效缩短患者住院时间,应推荐采纳。

Comparison of laparoscopic partial hepatectomy and open partial hepatectomy

Objective: To evaluate the clinical effect of laparoscopic liver resection surgery with open hepatectomy. Methods: the hospital treated 78 cases of liver hemangioma patients as the research object, study the time from March 2014 to March 2017, the clinical data of all patients were collected, and the related data were analyzed retrospectively. Among them, the application of open liver resection for the treatment of patients with a total of 30 patients, as control group, laparoscopic partial hepatectomy for the treatment of patients with a total of 48 cases for the observation group, two groups of surgery related indicators for evaluation, analysis and evaluation of laparoscopic surgery and open surgery application Results: two groups of patients with operation time, the total amount of bleeding, blood transfusion rate had no significant difference, no statistical significance (P>0.05); the patients in the observation group were eating time, analgesic use, hospitalization time, complication rate and the control group has a big difference, with statistical significance (P<0.05); the recurrence rate of the observation group the mortality rate, no significant difference with the control group, no statistical significance (P>0.05). Conclusion: laparoscopic liver clinical therapeutic effect than that of open partial liver resection surgery, can effectively shorten the hospitalization time, is recommended to be adopted