程序化腹腔镜肝左外叶切除术的疗效评价  

Effect of Programmed Laparoscopic Left Lateral Segment Liver Resection

作　　者：唐彤[1] 刘明忠[1] 陈磊[1] Tang Tong;Liu Mingzhong;Chen Lei(Department of Hepatobiliary Surgery,Dazhou Central Hospital,Dazhou Sichuan 635000,Chin)

机构地区：[1]达州市中心医院肝胆外科,四川635000

出　　处：《中华普外科手术学杂志（电子版）》2018年第4期333-335,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的评价程序化腹腔镜肝左外叶切除术与传统腹腔镜和开腹肝左外叶切除术的临床疗效。方法回顾性分析2014年1月至2017年8月接受肝左外叶切除术患者62例资料,其中开腹组19例(A组),传统腹腔镜组20例(B组),程序化腹腔镜组23例(C组)。采用SPSS 20.0统计学软件进行统计学分析,术中与术后恢复相关指标及肝功能指标等用均数±标准差表示,采用t检验;一般资料和术后并发症采用χ~2检验比较,以P<0.05为差异有统计学意义。结果三组数据比较,C组切口总长度最短,手术时间、术中出血量、术后拔管时间、胃肠功能恢复时间、术后住院时间最少(P<0.05),术后第1天、第3天白蛋白(ALB)相对最高、丙氨酸氨基转移酶(ALT)冬氨酸氨基转移酶(AST)相对最低(P<0.05);术后并发症发生率三组相当(P>0.05)。结论程序化腹腔镜肝左外叶切除术疗效确切优良,较传统腹腔镜和开腹肝左外叶切除术创伤小、出血少、恢复快、且不增加术后并发症,值得在临床中应用推广。Objective To investigate the clinical effects of programmed laparoscopic left lateral segment liver resection, traditional laparoscopic left lateral segment liver resection and open left lateral segment liver resection. Methods From January 2014 to August 2017, 62 patients underwent left lateral segment liver resection were collected in our hospital retrospectively. They were divided into three groups, 19 cases with open left lateral segment liver resection （ A group）, 20 cases with traditional laparoscopic left lateral segment liver resection （ B group ） and 23 cases with programmed laparoscopic left lateral segment liver resection （C group）. Statistical analysis was performed by using SPSS20. 0, clinical data of intraoperative and postoperative recovery as well as liver functions were presented as （x ± s） and examined by t test; The level of liver function and complications were examined by chi square test. A P value of 〈 0.05 was considered as significant difference. Results The total length of incision in C group was the shortest, the amount of blood loss, the time of extubation, the recovery time of gastrointestinal function and the time of hospitalization were the least in C group （P 〈0. 05）; 1d, 3d after operation, the albumin （ALB） was the highest, alanine aminotransferase （ALT） and aspartate aminotransferase （AST） were the lowest in C group （ P 〈 0.05 ）. The incidence of postoperative complications were similar among the three groups （ P 〉 0.05 ）. Conclusion The programmed laparoscopic left lateral segment liver resection has better curative effect, less trauma, less bleeding and faster recovery than traditional laparoscopy and open operation, and does not increase postoperative complications, which is worth popularizing in clinical use.

关 键 词：肝切除术 腹腔镜 剖腹术 疗效比较研究 

分 类 号：R657.3[医药卫生—外科学]