腹腔镜下Glisson蒂横断式肝切除术与Pringle法肝切除术治疗原发性肝癌的效果比较  

Comparison on the Effects of Laparoscopic Glisson Pedicle Transection Hepatectomy and Pringle-Method Hepatectomy in the Treatment of Primary Liver Cancer

作　　者：崔贵医 张隆陶[1] 张贻庆[1] 王劲[1] CUI Guiyi;ZHANG Longtao;ZHANG Yiqing;WANG Jin(Department of Hepatobiliary and Pancreatic Hernia Surgery,Jiaozuo People's Hospital,Jiaozuo 454000,China)

机构地区：[1]焦作市人民医院肝胆胰疝外科,河南焦作454000

出　　处：《临床医学工程》2023年第11期1497-1498,共2页Clinical Medicine & Engineering

摘　　要：目的对比腹腔镜下Glisson蒂横断式肝切除术与Pringle法肝切除术治疗原发性肝癌的临床效果。方法将80例原发性肝癌患者根据治疗方法不同分为A组(n=43)和B组(n=37)。A组采用腹腔镜下Glisson蒂横断式肝切除术治疗,B组采用腹腔镜下Pringle法肝切除术治疗。比较两组的手术情况、肝功能指标及术后并发症发生率。结果A组术中出血量、术中输血率低于B组(P<0.05)。术后7d,两组的ALB水平降低,TBIL、ALT、AST水平均升高,但A组ALB水平高于B组,TBIL、ALT、AST水平低于B组(P<0.05)。A组术后并发症发生率为13.95%,低于B组的35.14%(P<0.05)。结论与腹腔镜下Pringle法肝切除术相比,腹腔镜下Glisson蒂横断式肝切除术治疗原发性肝癌优势明显,可明显减少患者术中出血量,减轻患者肝功能损伤程度,降低患者术中输血率和术后并发症发生率。Objective To compare the clinical effects of laparoscopic Glisson pedicle transection hepatectomy and Pringle-method hepatectomy in the treatment of primary liver cancer.Methods 80 patients with primary liver cancer were divided into group A(n=43)and group B(n=37)according to different treatment methods.Group A was treated with laparoscopic Glisson pedicle transection hepatectomy,and group B was treated with laparoscopic Pringle-method hepatectomy.The operation conditions,liver function indicators and incidence of postoperative complications were compared between the two groups.Results The intraoperative blood loss and intraoperative blood transfusion rate of group A were lower than those of group B(P<0.05).7 days after operation,the ALB levels of both groups decreased,and the TBIL,ALT and AST levels increased(P<0.05);The ALB level of group A was higher than that of group B,and the TBIL,ALT and AST levels were lower than those of group B(P<0.05).The incidence of postoperative complications in group A was 13.95%,lower than 35.14%in group B(P<0.05).Conclusions Compared with laparoscopic Pringle-method hepatectomy,laparoscopic Glisson pedicle transection hepatectomy has significant advantages in the treatment of primary liver cancer,which can significantly reduce the intraoperative blood loss,and reduce the liver function injury degree,intraoperative blood transfusion rate and incidence of postoperative complications.

关 键 词：原发性肝癌 腹腔镜 Glisson蒂横断式肝切除术 Pringle法肝切除术 

分 类 号：R735.7[医药卫生—肿瘤]