腹腔镜肝切除与开腹肝切除临床对照分析  

Controlled Clinical Analysis of Laparoscopic Liver Resection and Open Liver Resection

作　　者：贺更生[1] 陈国栋[1] 文武[1] 张伟[1] 

机构地区：[1]南华大学附属第一医院肝胆胰外科,湖南衡阳421001

出　　处：《中南医学科学杂志》2015年第5期559-561,596,共4页Medical Science Journal of Central South China

摘　　要：目的分析腹腔镜肝切除术与传统开腹肝切除术治疗肝脏疾病的效果。方法回顾性分析我院2013年08月~2015年04月收治的60例肝脏疾病患者的手术效果,根据不同手术方法分为腹腔镜组和开腹组,对比分析两组患者的切口长度、出血量、手术时间、术后离床活动时间、术后肛门排气时间、住院时间、术后使用止痛剂例次、住院费用及术后并发症发生情况。结果腹腔镜组与开腹组的手术切口长度、住院时间和术后使用止痛剂例次差异均有统计学意义（P〈0.05）。而两组手术时间、出血量、术后离床活动时间、术后肛门排气时间、住院费用和术后并发症等比较无统计学意义（P〉0.05）。结论对比开腹肝切除组,腹腔镜肝切除组患者具有切口小、疼痛轻及术后住院时间短等特点,值得临床推广应用。Objective To analyse effect of laparoscopic liver resection and open liver resection in the treatment of liver disease. Methods 60 cases of patients with liver disease treated in the First Affiliated Hospital of University of South China from August 2013 to April 2015 were retrospective chosen as experimental objects,and were divided into laparoscopic group and open group. Compare to the two groups with incision length,bleeding volume,operative time,from the bed activity time after surgery,postoperative anal exhaust time,hospitalization time,postoperative use of painkillers,hospitalization expenses and postoperative complications. Results Significant differences of incision length,postoperative use of painkillers and hospitalization time were found between laparoscopic group and open group（ P 0. 05）,but in the operative time,bleeding volume,from the bed activity time after surgery,postoperative anal exhaust time,hospitalization expenses and postoperative complications had no statistical significance（ P 0. 05）. Conclusion Compared with open liver resection,laparoscopic liver resection had small incision,small pain and shorter hospitalization time,it was worth clinical popularization and application.

关 键 词：腹腔镜 肝切除术 疗效 

分 类 号：R657.3[医药卫生—外科学]