腹腔鏡下行肝左外葉切除治療原發(fā)性肝癌的臨床療效分析.pdf

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1、醫(yī)學(xué)I臨床研究2014年2月第31卷第2期JClinRes，F(xiàn)eb．2014，Vol31，No2·269··論著·腹腔鏡下行肝左外葉切除治療原發(fā)性肝癌的臨床療效分析劉志春姜玉石張立獻(xiàn)。(1．中國(guó)石油天然氣集團(tuán)公司中心醫(yī)院，河北廊坊065000；2．中國(guó)石油華北油田公司總醫(yī)院，河北任丘062552)[摘要]【目的】探討腹腔鏡下進(jìn)行肝左外葉切除治療原發(fā)性肝癌的臨床效果。【方法】分析48例本院2010年3月至2012年12月收治的原發(fā)性肝癌患者的臨床資料，根據(jù)手術(shù)方式將患者分為觀察組和對(duì)照組。觀察組26例，采用腹腔

2、鏡下肝左外葉切除術(shù)治療；對(duì)照組22例，采用開(kāi)腹手術(shù)治療。觀察并比較兩組患者的手術(shù)時(shí)間、術(shù)中出血量、術(shù)后平均住院時(shí)間以及術(shù)后的并發(fā)癥情況?！窘Y(jié)果】本紐48例患者均成功完成手術(shù)，觀察組患者的手術(shù)時(shí)間以及術(shù)后平均住院時(shí)間均明顯短于對(duì)照組，術(shù)中出血量少于對(duì)照組，且兩組相比較差異有顯著性(P

3、]肝腫瘤／外科學(xué)；肝切除術(shù)；腹腔鏡檢查AnalysisofClinicalEfficacyofLaparoscopicHepaticLeftLateralandExternalLobectomyfortheTreatmentofPrimaryLiverCancerLIUZhi—chun，JIANGYu_shi，ZHANGLi—xian(CentralHospitalofChinaNationPetroleumCorperation，Hebei065000，China)~Abstract][Objectivel

4、Toexploretheclinicalefficacyoflaparoscopicliverleftlateralandexternallobectomyforthetreatmentofprimaryhepaticcarcinoma．[MethodslClinicaldataofpatientswithprimarylivercancerinourhos—pitalfromMarch2010toDec．2012wereanalyzed．Accordingtotheoperationmode，allpati

5、entsweredividedintoobservationgroupandcontrolgroup．Theobservationgroup(n一26)underwentlaparoscopichepaticleftlateralandexternallobectomy，whilethecontro1group(一22)underwentlaparotomy．Theoperationtime，bleedingvolume，postoperativehospitalizationtimeandpostopera

6、tivecomplicationswereobservedandcompared．[ResuhslAll48pa—tientscompletedtheoperationsuccessfully．Theoperationtimeandpostoperativeaveragehospitalizationtimeinob—servationgroupwereshorterthanthoseincontrolgroup，butintraoperativebleedingvolumewaslessthanthatin

7、controlgroup，andthereweresignificantdifferences(P

8、tofprimarylivercancerhassignificantefficacyandcanshortentheoperationtime．Italsohashighsafetyandlesscomplication，SOitisofimportantsignificanceforim—provingtheprognosisandqualityoflifeofpatients．[Keyword