腹腔镜下解剖性肝切除术对原发性肝癌患者肝功能及术后并发症的影响OA

Objective:To explore the effect of laparoscopic anatomical hepatectomy on liver function and postoperative complications in patients with primary liver cancer.Method:A total of 84 patients with primary liver cancer who admitted to Foshan Hospital of Traditional Chinese Medicine from October 2021 to January 2023 were selected as the research objects,the patients were divided into the observation group and the control group according to the random number table method,with 42 cases in each group.The control group was given laparoscopic non anatomical hepatectomy,while the observation group was given laparoscopic anatomical hepatectomy.The surgical indicators,liver function and complications between two groups were compared.Result:There was no significant difference in the operation time between two groups(P>0.05);the blood transfusion volume and intraoperative blood loss in the observation group were less than those in the control group,and the anal ventilation recovery time and postoperative hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).The levels of alanine aminotransferase(ALT),total bilirubin(TBIL)and aspartate aminotransferase(AST)in the observation group after treatment were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.76%(2/42),which was lower than 23.81%(10/42)in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic anatomical hepatectomy in the treatment of patients with primary liver cancer can reduce the amount of blood transfusion and intraoperative blood loss,shorten the recovery time of anal ventilation and postoperative hospital stay,improve liver function,and have fewer complications and high safety.