腹腔镜下复发肝癌切除术的临床效果观察  

Clinical effect of laparoscopic hepatectomy on recurrent hepatocellular carcinoma

作　　者：谢勇[1] 马晓飞[1] 刘晓平[1] 黄志峰[1] 欧希[1] 刘吉奎[1] 

机构地区：[1]北京大学深圳医院肝胆胰外科,广东518032

出　　处：《中国临床新医学》2017年第9期860-863,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的观察腹腔镜下复发肝癌切除术的临床疗效。方法选取该院2012-04~2015-10收治的34例复发肝癌患者为研究对象,按手术方式不同分为腹腔镜组和开腹组,每组17例。腹腔镜组采用腹腔镜下肝切除术,开腹组采用开放式肝切除术,比较两组的术中、术后情况以及术后1年复发率。结果腹腔镜组的手术时间、术中出血量、手术切口长度、术后下床时间、术后疼痛指数分别为(93.28±46.45)min、(122.68±52.74)ml、(6.34±1.82)cm、(3.44±1.26)d、(4.52±2.39)分低于或少于开腹组的(126.43±39.13)min、(237.81±76.39)ml、(21.43±2.25)cm、(8.25±2.37)d、(6.71±1.85)分(P<0.05)。结论腹腔镜下复发肝癌切除术具有创伤小、出血量少、术后恢复快等优点,可以作为复发肝癌的首选治疗方式。Objective To study the clinical effect of laparoscopic hepatectomy on recurrent hepatocellular carcinoma.Methods From April 2012 to October 2015, a total of 34 patients with recurrent hepatocellular carcinoma in our hospital were taken as the clinical research subjects, and they were randomly divided into the laparoscopic group（n=17） and the laparotomy group（n=17）. The laparoscopic group was given laparoscopic hepatectomy, and the laparotomy group was given open hepatectomy. The intraoperative and postoperative conditions, and 1-year postoperative recurrent rate were compared between the two groups.Results The operative time, intraoperative blood loss and postoperative pain index in the laparoscopic group were significantly lower than those in the laparotomy group[（93.28±46.45）min vs（126.43±39.13）min, （122.68±52.74）ml vs（237.81±76.39）ml,（4.52±2.39）vs（6.71±1.85）]（P〈0.05）.Conclusion Laparoscopic hepatectomy can be used as the first choice for recurrent hepatocellular carcinoma because of the advantages of smaller wound and less blood loss and faster recovery.

关 键 词：肝细胞癌 复发 腹腔镜 肝切除术 

分 类 号：R735[医药卫生—肿瘤]