手助腹腔镜与开腹肝癌切除的对比研究

A comparative study of hand-assisted laparoscopic versus open hepatectomy for liver cancer

目的探讨手助腹腔镜肝癌切除的微创性和安全可行性。方法40例肝癌切除患者随机分为手助腹腔镜(HALH)和开腹肝癌切除术(OH)两组,比较两组的手术时间、术中出血量、切口长度、术后肛门排气时间、术后住院时间、术后并发症及C反应蛋白的动态变化。结果HALH组平均出血量、切口长度、术后肛门排气时间、术后住院时间、术后第7天C反应蛋白均明显少于OH组(均P<0.05)。两组平均手术时间相仿,均无严重并发症发生。两组复发率差异无显著性。结论手助腹腔镜肝癌切除安全可行,具有创伤小、术后恢复快等特点。

Objective To study the feasibility and invasiveness of hand-assisted laparoscopic hepatectomy （ HALH ） for liver cancer. Methods Forty patients undergoing hepatectomy for liver cancer were randomly divided into HALH group and open hepatectomy （ OH ） group. Data of patients of two groups, Which included operating time, intraoperative blood loss, length of incision, postoperative flatus time, hospital stay,complications and C-reactive protein （CRP） were compared. Results The mean intraoperative blood loss, length of incision, postoperative flatus time, hospital stay and CRP in HALH group were significantly less than that in OH group; but there was no significant difference in operating time, or complication and recurrence rate. Conclusions HALH for liver cancer is less traumatic, and achieves faster patient recovery. It is feasible and safe in selected patients.