腹腔镜肝切除与开腹肝切除围手术期对比研究

A comparative study of laparoscopic hepatectomy and open hepatectomy

目的:探究腹腔镜肝切除术的临床应用。方法:回顾性总结26例腹腔镜肝切除病例和同期完成的28例开腹肝部分切除病例,分析并比较两组患者在术中和术后相关指标(手术时间、排气时间、术中出血量、术后进食时间、住院时间)以及并发症发生情况。结果:腹腔镜组患者的手术时间、术后进食时间和住院时间都明显短于开腹组患者,差异具有统计学意义(P<0.05)。腹腔镜组不良反应发生率为26.9%,开腹组不良反应发生率为28.5%,差异无统计学意义(P>0.05)。结论:腹腔镜肝切除术是一种安全、有效、可行的微创手术方式、具有术中出血量少、术后恢复快、术后住院时间短等优点,建议临床上推广应用。

Objective To explore the clinical application of laparoscopic hepatectomy. Method A total of 26 cases of laparo-scopic hepatectomy and a total of 28 patients with partial hepatectomy were retrospectively reviewed. Analysis and comparison of two groups of patients in the intraoperative and postoperative related indicators （operation time,exhaust time, intraoperative blood loss,postoperative eating time, hospital stay） and complications. Results The operation time, evacuation time,postoperative eating time and hospital stay of laparoscopic group were significantly shorter than patients of laparotomy group, the difference was statisti-cally significant （P 〈0. 05）. The incidence of adverse reactions of laparoscopic group was 26. 9 % ,of open hepatectomy group was 28. 5% ,The difference was not statistically significant （P 〉0. 05）. Conclusion Laparoscopic liver resection is a safe,effec-tive and feasible minimally invasive surgery,with less intraoperative blood loss,rapid postoperative recovery, shorter postoperative hospital stay,and so on.