微创腹腔镜与传统开腹肝切除术治疗肝癌的近期疗效观察  

Short-term Effi cacy Observation of Minimally Invasive Laparoscopic and Traditional Open Hepatectomy in the Treatment of Liver Cancer

作　　者：罗德荣 Luo Derong(The Affiliated Cancer Hospital of Guizhou Medical University,Guiyang,Guizhou 550001)

机构地区：[1]贵州医科大学附属肿瘤医院,贵州贵阳550001

出　　处：《科技与健康》2025年第4期49-52,共4页Technology and Health

摘　　要：观察并对比微创腹腔镜与传统开腹肝切除术治疗肝癌的效果。选取2022年1月—2024年8月医院收治的70例肝癌患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组各35例。对照组行传统开腹肝切除术,观察组行微创腹腔镜肝切除术,比较两组患者的手术及术后恢复指标、炎症因子、肝功能。结果显示,观察组患者的手术时间、术后住院时间、进食时间、引流管留置时间短于对照组,术中出血量少于对照组,切口长度短于对照组(P<0.05);术后,观察组患者的各项炎症因子指标水平均低于对照组(P<0.05);术后1个月,两组患者的各项肝功能指标水平均降低,且观察组低于对照组(P<0.05)。研究发现,微创腹腔镜肝切除术治疗肝癌患者的效果明显,可减少手术对患者造成的损伤,加快患者的术后康复速度,减轻患者的炎症反应,促进患者肝功能的恢复。This study aims to observe and compare the short-term effects of minimally invasive laparoscopic hepatectomy and traditional open hepatectomy in the treatment of liver cancer.A total of 70 patients with liver cancer admitted to the hospital from January 2022 to August 2024 were selected as the research subjects and divided into a control group and an observation group by the random number table method,with 35 cases in each group.The control group underwent traditional open hepatectomy,and the observation group underwent minimally invasive laparoscopic hepatectomy.The surgical and postoperative recovery indicators,inflammatory factors,and liver function of the patients in the two groups were compared.The results showed that the operation time,postoperative hospital stay,time tofirst feeding,and indwelling time of the drainage tube of the patients in the observation group were shorter than those in the control group,the intraoperative blood loss was less than that in the control group,and the incision length was shorter than that in the control group(P<0.05).After the operation,the levels of various inflammatory factor indicators of the patients in the observation group were lower than those in the control group(P<0.05).One month after the operation,the levels of various liver function indicators of the patients in both groups decreased,and those in the observation group were lower than those in the control group(P<0.05).The study found that minimally invasive laparoscopic hepatectomy has an obvious effect in the treatment of patients with liver cancer.It can reduce the damage caused by the operation to the patients,accelerate the postoperative recovery speed of the patients,alleviate the inflammatory response of the patients,and promote the recovery of the liver function of the patients.

关 键 词：肝癌 开腹肝切除术 微创腹腔镜 肝功能 

分 类 号：R735.7[医药卫生—肿瘤]