腹腔镜行肝部分切除术的临床效果研究

Clinical Efficacy of Celoscope on the Treatment of Partial Hepatectomy

目的:随着医疗技术的不断发展,腹腔镜作为一种新兴的微创治疗方法被广泛应用于临床手术中,且效果显著。我们通过观察腹腔镜技术用于老年患者进行肝部分切除术的临床效果,并与传统开腹手术进行对比,探讨腹腔镜手术治疗肝肿瘤的优势,为后续的临床研究提供依据。方法:采用回顾性分析的方法,选取2011年1月至2012年12月在我院接受肝部分切除术的101例老年肝肿瘤患者的临床资料,根据手术方式将研究对象分为观察组(39例)和对照组(62例),观察组采取腹腔镜手术治疗,而对照组则采用传统开腹手术治疗。比较两组患者的手术时间、术中出血量、术后排气时间、术后并发症、平均住院时间、住院费用等,分析两种手术方式的临床效果。结果:观察组患者的手术时间、术中平均出血量、术后排气时间、平均住院时间均明显优于对照组患者(P<0.05);观察组患者术后无1例并发症,对照组为20例,观察组患者术后并发症的发生率低于对照组,差异具有统计学意义(P<0.05);两组患者的住院费用无明显差异(P>0.05)。结论:腹腔镜手术具有创伤小、术中出血少、术后恢复快等优点,最大程度的减少手术对患者机体造成的损伤,适合身体机能逐渐衰退、手术耐受较差的老年患者采用。腹腔镜肝部分切除术的效果显著,值得临床推广应用。

Objective： With the development of medical technology, the celoscope, as the burgeoning minimally invasive method, has been widely applied on the clinical field with obvious effects. We are devoted to providing a few clinical statistics for the subsequent research by observing and comparing the clinical effect between the celoscope and the conventional surgery on the treatment of partial hepatectomy for the elder patients. Methods： A retrospective analysis was performed on the clinical data of 101 elderly patients with liver tumors who were accepted the surgery for partial hepatectomy in our hospital from January 2011 to December 2012. According to different operation methods, the patients were divided into two groups. The patients in the observation group were treated by the celoscope, while patients in the control group were treated by the conventional open surgery. Then the operation time, blood loss, exsufflation time, incidence of complications, hospitalization and costs for treatment were observed and compared between two groups. Results： The operation time, blood loss, exsufflation time and hospitalization of patients in the observation group were obviously shorter than those of the patients in the control group（P〈0.05）. No complication was found in the observation group, which was better than that of the control group（P〈0.05）. There was no statistically significant difference about the costs for operation（P〉0.05）. Conclusions： With the advantages of the minimally invasive trauma, less blood loss, quicker recovery and so on, the celoscope is suitable for the elder patients who were intolerant to the operation because of the decline of their body functions which makes contribution to minimize the damages brought by the operation. It is worthy of further promotion on the partial hepatectomy for the obvious efficacy it works.