腹腔镜循肝中静脉半肝切除术治疗原发性肝癌的效果

Effect of laparoscopic precise hemihepatectomy guided by middle hepatic vein on primary liver cancer

目的探讨腹腔镜循肝中静脉半肝切除术(LLH)治疗原发性肝癌的效果。方法选取2017年3月至2019年3月于中国人民解放军联勤保障部队第923医院就诊的原发性肝癌患者120例进行观察,并依据不同治疗方式分为两组。对照组60例予以传统手术,观察组60例予以LLH手术,对比两组疗效。结果观察组手术时间、术中出血量、住院时间明显优于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异未见统计学意义(P>0.05)。结论LLH手术方式治疗原发性肝癌患者的临床疗效显著,且并发症较少,值得推广。

Objective To investigate the effect of laparoscopic precise hemihepatectomy guided by middle hepatic vein(LLH)in treatment of primary liver cancer.Methods From March 2017 to March 2019,120 patients with primary liver cancer and who were treated in the 923 rd Hospital of the Joint Service Support Force of the Chinese People’s Liberation Army were selected for observation,and the patients were divided into two groups according to different treatment methods.The 60 cases in control group were treated with traditional operation,while the 60 cases in observation group were treated with LLH.The clinical effects of two groups were compared.Results The operation time,intraoperative hemorrhage,hospitalization time in the observation group were significantly better than those in the control group(P<0.05).There was no significant difference between the observation group and the control group in the incidences of complications after treatment(P>0.05).Conclusions The clinical effects of LLH on patients with primary liver cancer are significant,and the complications are less,thus it is worth promoting.