中国普通外科杂志2013，Vol.22Issue(7)：862-866,5.DOI:10.7659/j.issn.1005-6947.2013.07.009
腹腔镜与开放性肝切除术治疗小肝癌的近期疗效比较
Short-term efficacy of laparoscopic versus open liver resection for small hepatocellular carcinoma
周兵 1汪正伟 1牛坚 2王飞通 2魏鑫 2刘斌2
作者信息
- 1. 徐州医学院研究生学院,江苏徐州221000
- 2. 徐州医学院附属医院普通外科,江苏徐州221002
- 折叠
摘要
Abstract
Objective:To compare the short term efficacies between laparoscopic liver resection and open liver resection in treatment of small hepatocellular carcinoma.Methods:The clinical data of 52 patients with small hepatocellular carcinoma treated between August 2011 and November 2012 were reviewed.Of the patients,20 cases underwent laparoscopic liver resection (laparoscopic group),while the other 32 cases were subjected to open liver resection (laparotomy group).The pre-,intra-and postoperative conditions between the two groups were compared.Results:The data between the two groups before surgery were comparable (all P＞0.05).The difference in operative time between the two groups did not reach a statistical significance (P＞0.05),but the intraoperative blood loss in laparoscopic group was significantly lower than that in laparotomy group (t=5.568,P=0.003).Comparison of the postoperative outcomes between the two groups showed that the liver function parameters in laparoscopic group were all better than those in laparotomy group (all P＜0.05),the levels of white blood cells,neutrophils and C-reactive protein in laparoscopic group were all significantly lower than those in laparotomy group (t=0.727,2.191,5.691,all P＜0.05),and the time to eating and ambulation as well as the length of hospital stay in laparoscopic group were all shorter than those in laparotomy group (t=15.838,3.896,7.638,3.663,all P＜0.01).Post-procedure complications occurred in none of the patients in laparoscopic group,but in 8 cases in laparotomy group (x2=5.909,P=0.017).Conclusion:Laparoscopic liver resection for small hepatocellular carcinoma is safe,feasible,and is better than traditional open surgery in terms of short-term efficacy.关键词
肝肿瘤/外科学/肝切除术,腹腔镜/治疗结果Key words
Liver Neoplasms/surg/ Hepatectomy, Laparoscopic/ Treatment Outcome分类
医药卫生引用本文复制引用
周兵,汪正伟,牛坚,王飞通,魏鑫,刘斌..腹腔镜与开放性肝切除术治疗小肝癌的近期疗效比较[J].中国普通外科杂志,2013,22(7):862-866,5.
