摘要
Abstract
Objective: To analyze the short-term effect of laparoscopic and open hepatectomy on marginal liver tumors.Methods: The data of 24 patients with hepatectomy who underwent hepatectomy from January, 2014 to December, 2016 were retrospectively analyzed.Result Laparoscopic hepatectomy group of 11 cases, the operation was successful.Including 8 cases of primary liver cancer, liver metastasis of intestinal cancer in 1 case, 1 case of hepatic hemangioma, 1 case of liver adenoma.Methods: Partial hepatectomy (Ⅱ-ⅤⅠ) in 8 cases, left lateral lobe resection (Ⅱ + Ⅲ) in 2 cases, two resection (Ⅲ + ⅤⅠ) in 1 case.13 cases of open surgery group, including 9 cases of primary liver cancer, liver metastasis of intestinal cancer in 2 cases, 1 case of hepatic hemangioma, 1 case of liver adenoma.The operative procedures were: partial hepatectomy (8 cases), left lateral lobe resection (Ⅱ + Ⅲ segment) in 4 cases and partial resection (ⅣB +ⅤⅠ segment) in 1 case.The operative time of laparoscopic group was significantly longer than that of laparotomy group (127.7 ± 31.2) min vs (103.4 ± 26.7) min, laparoscopic group was significantly less than that of laparotomy group (140.6 ± 21.4) mL vs (268.3 ± 33.7) mL, significantly shorter than those in the laparotomy group (2.9 ± 0.3) ten thousand yuan vs (3.7 ± 0.8) in the laparotomy group, the hospitalization time was significantly shorter than the open group (8.52 ± 1.06) d vs (13.5 ± 2.7) d (P<0.05).There was no significant difference in complication between the two groups (P>0.05).Conclusions: Laparoscopic hepatectomy in the marginal segment resection (Ⅱ, Ⅲ, Ⅳ, Ⅴ, ⅤⅠ) in the use of safe and effective, and less intraoperative bleeding, rapid postoperative recovery, eating early, shorter hospital stay, hospitalization The cost of complications was lower than that of the open group.The curative effect was better than that of the laparotomy group.关键词
腹腔镜/开腹手术:边缘性肝肿瘤/近期疗效Key words
Laparoscopy/Laparotomy/Marginal liver neoplasms/Short-term efficacy分类
医药卫生
