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目的探讨腹腔镜肝切除术和开腹肝切除术对原发性肝癌的疗效情况。方法原发性肝癌患者92例,依据手术方式不同分为开腹组(42例)和腹腔镜组(50例),观察比较两组患者的手术时间、术中出血量、排气时间、留置引流管时间、术后住院时间、并发症发生情况。结果开腹组患者的手术时间(169.6±18.7)min,术中出血量为(890.4±18.6)ml,排气时间为(3.5±0.6)d,留置引流管时间为(10.0±3.6)d,术后住院时间为(14.0±2.5)d,并发症发生率为9.5%;腹腔镜组患者的上述指标分别为(156.3±20.2)min、(584.5±15.7)ml、(2.7±0.5)d、(5.8±3.2)d、(9.5±2.0)、0,两组患者各指标比较差异均具有统计学意义(P<0.05)。结论腹腔镜肝切除术治疗原发性肝癌患者,创伤小、出血少、恢复快、安全性高,值得临床推广应用。
Objective To investigate the efficacy of laparoscopic hepatectomy and open hepatectomy on primary liver cancer. Methods A total of 92 patients with primary hepatocellular carcinoma (HCC) were divided into open group (n = 42) and laparoscopic group (n = 50) according to the operation method. The operation time, intraoperative blood loss, excretion time, Drainage tube time, postoperative hospital stay, complications. Results The operation time of the open group was (169.6 ± 18.7) min, the blood loss was (890.4 ± 18.6) ml, the duration of extubation was (3.5 ± 0.6) d, the duration of indwelling drainage tube was (10.0 ± 3.6) The postoperative hospital stay was (14.0 ± 2.5) days and the complication rate was 9.5%. The above indexes in the laparoscopic group were (156.3 ± 20.2) min, (584.5 ± 15.7) ml and (2.7 ± 0.5) d, (5.8 ± 3.2) d and (9.5 ± 2.0), respectively. There was significant difference between the two groups (P <0.05). Conclusion Laparoscopic hepatectomy for the treatment of patients with primary liver cancer, less trauma, less bleeding, rapid recovery, high safety, worthy of clinical application.