腹腔镜肝癌手术的安全性及疗效评价

The Evaluation of the safety and treatment effect of laparoscopic liver cancer surgery

肝癌作为消化系统常见恶性肿瘤,死亡率占恶性肿瘤的第二位。目前肝癌的外科治疗是肝癌患者获得长期生存最重要的手段,随着医学微创技术的快速发展,腹腔镜肝切除术因创伤小、术中出血少、术后恢复快等优点在临床肝癌手术中应用越来越广泛。然而,由于腹腔镜下无法直接进行肿瘤探查,术中出血控制困难,气腹状态下肿瘤的穿刺孔易转移等,其安全性及疗效一直是临床医生担心的问题。该文主要对腹腔镜肝癌切除术安全性及有效性做出评价,以期为临床上腹腔镜肝癌切除术的开展提供参考。

As a common malignant tumor of the digestive system, liver cancer ranks the second amongmalignant tumors Nowadays, surgical treatment is the most important means of obtaining long-term survival forliver cancer patients , With the rapid development of minimally invasive medical technology, laparoscopic liverresection has become more and more widely used in clinical liver cancer because of its advantages, such as less trauma, less intraoperative bleeding, faster postoperative recovery and so on . However, laparoscopic livercancer surgery have been limited by various problems such as the inability of the tumor to be directly detectedby laparoscopy, the difficulty of controlling patients to bleeding during surgery, and easily translocation of tumorpuncture in the patient＇s pneumoperitoneum state？ Taking into account the above reasons, many clinicians worried about the safety and efficacy of laparoscopic liver cancer surgery？ This article mainly evaluates the safetyand effectiveness of laparoscopic resection of liver cancer, in order to provide a reference for the clinical laparo-scopic resection of liver cancer.