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目的探讨腹腔镜肝切除术在肝癌治疗中的临床意义。方法手术治疗的肝癌患者60例,根据手术方式分为腹腔镜肝切除术(laparoscopic hepatectomy,LH)和开腹肝切除(open hepatectomy,OH),每组各30例。比较两组患者的手术时间、术中出血量、术后住院时间、术后并发症发生率、1年复发率、总体复发率、无瘤生存期及总体生存期。结果 LH组术中出血量[(326.67±45.53)ml比(458.33±30.14)ml]、术后住院时间[(7.89±2.54)天比(11.97±3.38)天]、术后并发症发生率(23.33%比63.33%)优于OH组,差异有统计学意义(P<0.05);手术时间、1年复发率、总体复发率、无瘤生存期及总体生存期比较,差异无统计学意义(P>0.05)。结论 LH术中出血少、术后住院时间短,术后并发症发生率低,其远期治疗效果与OH比较无明显差异。
Objective To investigate the clinical significance of laparoscopic liver resection in the treatment of liver cancer. Methods Sixty patients with liver cancer undergoing surgical treatment were divided into laparoscopic hepatectomy (LH) and open hepatectomy (OH) according to the operation mode, 30 cases in each group. The operation time, intraoperative blood loss, postoperative hospital stay, postoperative complications, 1-year recurrence rate, overall recurrence rate, disease-free survival and overall survival were compared between the two groups. Results The blood loss in the LH group was (326.67 ± 45.53) ml (458.33 ± 30.14) ml, and the postoperative hospital stay was (7.89 ± 2.54) days (11.97 ± 3.38) days. The postoperative complication rate 23.33% vs 63.33%) was superior to OH group, the difference was statistically significant (P <0.05). There was no significant difference in operative time, one-year recurrence rate, overall recurrence rate, disease-free survival and overall survival P> 0.05). Conclusion LH less bleeding, shorter postoperative hospital stay, postoperative complications rate is low, the long-term treatment effect and OH no significant difference.