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目的比较腹腔镜规则性肝叶切除和开腹手术治疗原发性肝癌的疗效。方法选取2010年1月~2013年1月我院收治的62例原发性肝癌患者为研究对象，根据手术方式的不同分为腹腔镜组(34例)和开腹组(28例)，腹腔镜组行腹腔镜规则性肝叶切除术，开腹组行传统肝叶肿瘤切除术；对比两组患者疗效、术中情况及术后随访情况。结果腹腔镜组的总体有效率(79.41%)高于开腹组(53.57%)，术中出血量、术后禁食时间、平均住院时间均少于开腹组，差异均具有统计学意义(<0.05)。结论腹腔镜规则性肝叶切除治疗原发性肝癌疗效优于开腹手术。“,”Objective To compare the ef icacy of laparoscopic regular hepatic lobectomy and open surgery in the treatment of primary liver cancer. Methods 62 cases of primary liver cancer patients were included the study from January 2010 to January 2013 in our hospital. According to the dif erent surgical methods the cases were divided into laparoscopic group (34 cases) and laparotomy group (28 cases).Laparoscopic group used laparoscopic regular hepatic lobectomy, and the laparotomy group used hepatic lobectomy. The ef icacy, the indexes of operation and the indexes of postoperative fol ow up were compared in two groups. Results The total ef ective rate of laparoscopic group (79.41%) was higher than the laparotomy group (52.57%), the intraoperative bleeding volume, postoperative fasting time, average hospitalization time were less than the laparotomy group, the dif erences were al statistical y significant ( <0.05). Conclusion The curative ef ect of laparoscopic regular hepatic lobectomy for the treatment of primary liver cancer is bet er than laparotomy.