腹腔镜肝癌切除术与开放式肝癌切除术的疗效比较研究

Comparative Study on Curative Effect of Laparoscopic Resection and Open Surgery for Hepatocellular Carcinoma

目的：探讨腹腔镜肝癌切除手术治疗原发性肝癌的可行性及安全性。方法：选取2008年6月至2011年1月在我院行腹腔镜肝癌切除术的30例患者作为研究对象，另外选择同期在我院行开放式肝癌切除术的30例患者作为对照。结果：30例均在腹腔镜下成功地完成手术，其中22例行腹腔镜局部切除术，8例行肝左外叶切除术。手术时间103—142min，出血量60-480mL，术后均未发生严重并发症，术后平均住院8．6d。术后随访18～36个月，局部复发或种植性转移率与对照组无显著差异。结论：腹腔镜肝癌切除术是安全可行治疗原发性肝癌的手术方式.

Objective： To evaluate the feasibility and safety oflaparoscopic liver resection for hepatocellular carcinoma. Methods： A total of 30 patients were chosen as research subjects ,who were performed laparoscopic liver resections on from June 2008 to January 2011 in our hospital; in the meantime, 30 patients, as controls, who, open liver resections. Results： 30 cases were successfully completed in laparoscopic surgery, 22 underwent laparoscopic local resection, and 8 underwent hepatic left lateral lobectomy. Operative time was 103-142 min, blood loss was 60-480mL, no serious postoperative complications, postoperative hospital stay 8. 6 d. 18 to 36 months followed up were conducted and we found no significant differences of local recurrence or metastasis rate between laparoscopic surgery and control group. Conclusion： Laparoscopic liver resection is a feasible and safe surgical treatment for primary liver cancer.