Comparation on Perioperative Period Situation of Laparoscopic Hepatectomy and Open Hepatectomy for Treatment of Primary Hepatic Carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 姜海濤 ,  曹景玉 , 鄒浩 , 李衍彥 , 王玉方 , 李潔旭 , 孫良金

青島大學醫學院附屬醫院肝膽外科（山東青島 266003）;

Corresponding?author：

曹景玉, Email: jht5019@aliyun.com

Keywords：

腹腔鏡; 剖腹術; 原發性肝癌; 圍手術期

DOI：

10.7507/1007-9424.20140018

Video：

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目的了解腹腔鏡肝切除術（laparoscopic hepatectomy，LH）與開腹肝切除術（open hepatectomy，OH）治療原發性肝癌的圍手術期狀況的變化。方法回顧性分析2012年1月至2013年6月期間青島大學醫學院附屬醫院肝膽外科收治的40例原發性肝癌患者的臨床資料，其中20例行LH，20例行OH，比較2組患者的術前一般情況、術中情況和術后恢復情況。結果 2組患者術前一般情況的差異均無統計學意義（P＞0.05）；在切口長度、術中出血量、術后肝功能指標、胃腸功能恢復情況和術后住院時間方面LH具有明顯的優勢（P＜0.05），而在手術時間、術后并發癥和住院總費用方面2組間差異無統計學意義（P＞0.05）。結論 LH較傳統的OH可明顯改善肝癌患者的圍手術期狀況，值得在有條件的情況下開展推廣。

Citation： 姜海濤, 曹景玉, 鄒浩, 李衍彥, 王玉方, 李潔旭, 孫良金. Comparation on Perioperative Period Situation of Laparoscopic Hepatectomy and Open Hepatectomy for Treatment of Primary Hepatic Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 89-91. doi: 10.7507/1007-9424.20140018 Copy

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1. Dagher I, Di Giuro G, Dubrez J, et al.Laparoscopic versus open right hepatectomy:a comparative study[J].Am J Surg, 2009, 198(2):173-177.
2. Reich H, McGlynn F, DeCaprio J, et al.Laparoscopic excision of benign liver lesions[J].Obstet Gynecol, 1991, 78(5 Pt 2):956-958.
3. Nguyen KT, Gamblin TC, Geller DA.World review of laparos-copic liver resection-2, 804 patients[J].Ann Surg, 2009, 250(5):831-841.
4. 王楓, 周東, 黃峰, 等.腹腔鏡肝切除術11例臨床報告[J].腹腔鏡外科雜志, 2009, 14(6):404-406.
5. Dagher I, Belli G, Fantini C, et al.Laparoscopic hepatectomy for hepatocellular carcinoma:a European experience[J].J Am Coll Surg, 2010, 211(1):16-23.
6. Tranchart H, Di Giuro G, Lainas P, et al.Laparoscopic resection for hepatocellular carcinoma:a matched-pair comparative study[J].Surg Endosc, 2010, 24(5):1170-1176.
7. Ito K, Ito H, Are C, et al.Laparoscopic versus open liver resection:a matched-pair case control study[J].J Gastrointest Surg, 2009, 13(12):2276-2278.
8. Nguyen KT, Marsh JW, Tsung A, et al.Comparative benefits of laparoscopic vs.open hepatic resection[J].Arch Surg, 2011, 146(3):348-356.
9. Ishizawa T, Gumbs AA, Kokudo N, et al.Laparoscopic segmen-tectomy of the liver:from segment Ⅰ to Ⅷ[J].Ann Surg, 2012, 256(6):959-964.
10. 張錦輝.腹腔鏡與開腹肝切除術治療肝臟疾病的療效比較[J].中國醫藥導報, 2010, 7(15):30-32.
11. 劉天錫, 方登華, 關斌穎, 等.腹腔鏡肝切除治療肝臟腫瘤的臨床探討[J].中國普外基礎與臨床雜志, 2012, 19(5):526-529.
12. 席兆華.腹腔鏡肝切除術的研究進展[J].中國臨床新醫學, 2008, 1(1):94-96.
13. 劉榮, 周寧新, 黃志強, 等.腹腔鏡肝切除術的可行性[J].中國微創外科雜志, 2005, 5(1):18-20.
14. 蔡秀軍, 王一帆.腹腔鏡解剖性肝切除術[J].肝膽外科雜志, 2009, 17(1):11-12.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparation on Perioperative Period Situation of Laparoscopic Hepatectomy and Open Hepatectomy for Treatment of Primary Hepatic Carcinoma

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