腹腔镜肝左外叶切除与开腹肝左外叶切除对肝脏肿瘤患者的临床效果分析

Clinical Effect of Laparoscopic Left Hepatectomy and Open Hepatectomy in Patients with Hepatic Tumor

目的分析腹腔镜肝左外叶切除与开腹肝左外叶切除治疗肝脏肿瘤患者的临床效果。方法选取接受治疗的肝脏肿瘤患者100例,按随机分组法分为治疗组50例(腹腔镜肝左外叶切除术)、对照组50例(开腹肝左外叶切除术)。结果治疗组患者术中出血量、输血量、切口长度、手术时间均低于对照组,两组对比差异有统计学意义(P <0. 05);治疗组患者术前禁食时间、术后引流管留置时间、住院天数均低于对照组,两组对比差异有统计学意义(P <0. 05);两组患者术后并发症情况对比差异无统计学意义(P> 0. 05)。结论治疗肝脏肿瘤患者时腹腔镜肝左外叶切除术不仅具有和开腹肝左外叶切除同样的治疗效果,而且本身具有对患者创伤小,能够快速恢复的优点。

Objective To analyze the clinical effects of laparoscopic left hepatectomy and open hepatectomy with left lateral lobe resection in patients with liver tumors. Methods 100 patients with hepatic cancer who received treatment were randomly divided into the treatment group（50 cases with laparoscopic hepatectomy） and the control group（50 cases with open hepatectomy）. Results The amount of intraoperative blood loss,blood transfusion,incision length,and operation time were lower in the treatment group than the control group.The difference between the 2 groups was statistically significant（ P〈0.05）;the preoperative fasting time and postoperative drainage tube indwelling were maintained in the treatment group.The time and length of hospital stay were lower than those of the control group.The difference between the 2 groups was statistically significant（ P〈0.05）.There was no significant difference in postoperative complications between the 2 groups（ P〉0.05）. Conclusion Laparoscopic hepatectomy with left hepatectomy does not only have the same therapeutic effect as open left hepatectomy,but also has the advantage of being able to recover quickly with minimal trauma.