腹腔镜与开腹手术治疗肝细胞癌的对比分析

Comparison of Laparoscopic and Open Surgery in the Treatment of Hepatocellular Carcinoma

目的探究肝细胞癌患者采用腹腔镜治疗和开腹手术的方法及效果。方法选取2014年9月-2015年12月收治的62例肝细胞癌患者进行治疗研究,随机分组,实验组36例患者采用腹腔镜治疗,对照组26例患者选择开腹手术治疗,比较两组患者的治疗效果。结果实验组患者的出血量、手术时间、肛门的排气时间以及住院时间都少于对照组,差异有统计学意义（P〈0.05）。且实验组并发症发生率为2.8%,对照组发生率为19.2%,对照组患者的并发症发生率高于实验组（P〈0.05）。结论肝细胞癌患者采用腹腔镜治疗,效果显著,减少身体创伤和出血量,并发症较少,有助于身体恢复。

Objective Treatment methods and effects of laparoscopic operation and laparotomy in treatment of hepatocellular carcinoma are to be comparatively studied. Methods 62 patients with hepatocellular carcinoma who are treated were chosen in hospital from September 2014 to December 2015 and separate them into two groups at random, 36 patients in study group are given laparoscopic operation, while another 26 patients in control group are given laparotomy treatment, and then compare operation effects between two groups. Results Patients＇ hemorrhage volume and operation time, their anal exhaust time and hospitalization days in study group are much less and shorter than counterparts in control group, there is a differential between two groups and such a differential has statistic value（P〈0.05）. Besides, patients＇ complication incidence is 2.8% in study group and patients＇ complication incidence is 19.2% in control group, thus, complication incidence in control group is much higher than that in study group（P〈0.05）. Conclusion Laparoscopic operation is clinically effective in treatment of hepatocellular carcinoma, it is conducive to alleviating patients＇ trauma, reducing hemorrhage volume, decreasing complication incidence and promoting patients＇ recovery, thus, such an operation treatment is quite worthwhile to be promoted widespread.