腹腔镜外科杂志2018，Vol.23Issue(2)：81-84,4.DOI:10.13499/j.cnki.fqjwkzz.2018.02.081
肝脏困难部位占位性病变微创手术的可行性研究
Feasibility study of minimally invasive surgery in the treatment of liver space occupying lesion in the segments with difficult access
王先锋 1金锦春 1周亮1
作者信息
- 1. 温州医科大学附属新昌医院,浙江 温州,312500
- 折叠
摘要
Abstract
Objective:To investigate the effect of minimally invasive surgery in the treatment of liver space occupying lesion in the segments with difficult access.Methods:Thirty-one patients with liver space occupying lesion in the segments with difficult access and 78 patients with liver space occupying lesion in the peripheral position who underwent laparoscopic hepatectomy from Jan.2012 to Dec.2015 were enrolled into the study as observation group and control group respectively.Baseline data,operative,postoperative data and follow-up results were compared between the two groups.Results:There were no significant differences in baseline data,intraopera-tive blood loss,ratio of intraoperative blood transfusion,negative margin,recovery liquid diet time,rate of analgesics treatment and the incidence of postoperative complications between two groups(P>0.05).The operation time and postoperative hospital stay in observa-tion group were significantly longer than those in the control group (P<0.05).All complications were cured after symptomatic treat-ment,and no one died during the perioperative period.There was no statistically significant difference in mortality during the follow-up period (P>0.05).Conclusions:Compared with the peripheral position,the intraoperative blood loss,postoperative recovery and inci-dences of complications of laparoscopic hepatectomy for difficult position of liver is similar,this procedure is safe and feasible.关键词
肝切除术/腹腔镜检查/可行性研究Key words
Hepatectomy/Laparoscopy/Feasibility studies分类
医药卫生引用本文复制引用
王先锋,金锦春,周亮..肝脏困难部位占位性病变微创手术的可行性研究[J].腹腔镜外科杂志,2018,23(2):81-84,4.
