腹腔镜与开腹肝叶切除术（肝段切除术）治疗肝细胞癌的比较。
Comparison of laparoscopic vs open liver lobectomy (segmentectomy) for hepatocellular carcinoma.
机构信息
Hepato-bilio-pancreatic Surgery Department, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu Province, China.
出版信息
World J Gastroenterol. 2011 Nov 14;17(42):4725-8. doi: 10.3748/wjg.v17.i42.4725.
Abstract
AIM
To investigate the effects of laparoscopic hepatectomy for the treatment of hepatocellular carcinoma (HCC).
METHODS
From 2006 to January 2011, laparoscopic hepatectomies were performed on 30 cases of HCC at Northern Jiangsu People's Hospital. During this same time period, 30 patients elected to undergo conventional open hepatectomy over laparoscopic hepatectomy at the time of informed consent. The degree of invasiveness and outcomes of laparoscopic hepatectomy compared to open hepatectomy for HCC were evaluated.
RESULTS
Both groups presented with similar blood loss amounts, operating times and complications. Patients in the laparoscopic hepatectomy group started walking and eating significantly earlier than those in the open hepatectomy group, and these more rapid recoveries allowed for shorter hospitalizations. There were no significant differences between procedures in survival rate.
CONCLUSION
Laparoscopic hepatectomy is beneficial for patient quality of life if the indications are appropriately based on preoperative liver function and the location and size of the HCC.
摘要
目的
探讨腹腔镜肝切除术治疗肝细胞癌（HCC）的效果。
方法
2006 年 1 月至 2011 年，我院对 30 例 HCC 患者实施了腹腔镜肝切除术。同期在知情同意时，有 30 例患者选择接受传统开腹肝切除术而不是腹腔镜肝切除术。评估腹腔镜肝切除术与开腹肝切除术治疗 HCC 的侵袭程度和结果。
结果
两组的出血量、手术时间和并发症相似。腹腔镜肝切除组的患者开始行走和进食的时间明显早于开腹肝切除组，这些更快的恢复使住院时间更短。两组患者的生存率无显著差异。
结论
如果根据术前肝功能以及 HCC 的位置和大小适当选择适应证，腹腔镜肝切除术对患者的生活质量有益。
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