腹腔镜肝切除术联合微波消融术对肝癌合并肝硬化患者术后康复的影响

目的:探讨腹腔镜肝切除术联合微波消融术对肝癌合并肝硬化患者术后康复的影响。方法:选择2015年1月~2016年2月收治的94例肝癌合并肝硬化患者为研究对象,根据治疗方案不同分为观察组与对照组各47例,对照组接受腹腔镜肝切除术治疗,观察组在对照组基础上加微波消融术治疗,对两组手术情况及术后并发症发生率、术后复发率、生存时间进行观察。结果:观察组手术时间较对照组长、出血量较对照组低(P<0.05),两组术后并发症发生率无明显差异(P>0.05);随访3年,观察组1年、3年生存率分别为100.00%、97.87%,复发率为2.13%、6.38%,与对照组比较有明显差异(P<0.05)。结论:腹腔镜肝切除术联合微波消融术不会增加手术风险,但是能清除位于特殊位置、腹腔镜不易切除的病灶,更利于患者远期预后。

Effect of Laparoscopic Liver Resection Combined with Microwave Ablation on Postoperative Rehabilitation of Patients with Liver Cancer Complicated with Cirrhosis

Objective:To investigate the effect of laparoscopic liver resection combined with microwave ablation on postoperative rehabilitation of patients with liver cancer complicated with cirrhosis. Methods:94 patients with liver cancer complicated with cirrhosis admitted from January 2015 to February 2016 were selected as subjects. According to different treatment options, they were divided into observation group and control group, with 47 cases in each group. The control group received laparoscopic liver resection, and the observation group was treated with microwave ablation on the basis of the control group. The operation status, postoperative complication rate, postoperative recurrence rate and survival time of the two groups were observed. Results: The operation time of the observation group was longer than that of the control group, and the amount of bleeding was lower than that of the control group(P<0.05). There was no significant difference in the incidence of postoperative complications(P>0.05). After 3 years of follow-up, the 1-year and 3-year survival rates of the observation group were 100.00% and 97.87%, respectively. The recurrence rate was 2.13% and 6.38%, which were significantly different from the control group(P<0.05). Conclusion:Laparoscopic hepatectomy combined with microwave ablation does not increase the risk of surgery, but it can clear small liver cancer with cirrhosis at a special position and laparoscopic resection, which is more conducive to long-term prognosis.