腹腔镜与开腹肝切除术治疗肝脏疾病的疗效比较

目的：比较腹腔镜与开腹肝切除术治疗肝脏疾病的近期疗效。方法：将60例拟行肝切除术患者按患者意愿分为腹腔镜组和开腹组，各30例。比较两组患者的术中情况、术后恢复情况和并发症发生情况。结果：腹腔镜组患者的切口长度和手术时间明显短于开腹组，而术中出血量明显减少，腹腔镜组患者术后禁食时间、镇痛药物用量和住院时间明显少于开腹组，差异有统计学意义（P〈0.01或P〈0．05）。两组患者并发症总发生率差异无统计学意义（P〉0．05）。结论：相对于开腹手术而言，腹腔镜肝切除术可明显改善患者术中和术后情况，且并不增加患者并发症发生的危险性。

Efficacy of laparoscopic and open hepatectomy on treatment of liver diseases

Objective： To explore the short-term efficacy of laparoscopic and open hepatectomy on the treatment of liver diseases. Methods： 60 patients scheduled for hepatectomy were divided into the laparoscopic group and open group according to th patients＇ intentions, each 30 cases. A comparison was conducted in terms of intraoperative states, postoperative recovery status and incidence for complication between two groups. Results： The incision length was markedly shorter in the laparoscopic group than that in the open group, and the intraoperative blood loss and duration of surgery were much decreased, and the postoperative fasting time, analgesic drug usage and hospital stay were considerably less in the laparoscopic group than those in the open group, with significant differences between two groups （P〈0.01 or P〈0.05）. There was no significant difference in total incidence rate for complication （P〉0.05）. Conclusion： Compared with open surgery, laparoscopic hepatectomy can significantly improve the intra- and post-operative states, without increasing the risk of complication incidence.