腹腔镜微波消融治疗巨大肝血管瘤的安全性和有效性：一项回顾性队列研究。
Safety and effective of laparoscopic microwave ablation for giant hepatic hemangioma: A retrospective cohort study.
作者信息
Chen Libo, Zhang Lei, Tian Min, Hu Qinggang, Zhao Lei, Xiong Jun
机构信息
Department of Emergency Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, 430022, China.
Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, 430022, China.
出版信息
Ann Med Surg (Lond). 2019 Feb 5;39:29-35. doi: 10.1016/j.amsu.2019.02.001. eCollection 2019 Mar.
INTRODUCTION
The purpose of this study was to evaluate the advantages and disadvantages of laparoscopic microwave ablation (LMWA) as compared with conventional open resection (ORES) for the treatment of giant hepatic hemangioma.
METHODS
and analysis: A retrospective chart review was conduct on patients with hepatic hemangioma underwent LMWA or ORES between 2014 and 2016.
RESULTS
Of 131 patients, 37 patients underwent ORES and 94 patients underwent LMWA. Blood loss, operative time, postoperative hospital stay, hospital cost (RMB) were significantly different between two groups. Patients after LMWA experienced significantly less pain than those patients undergoing ORES. At a mean follow-up period of 12.8 ± 3.6 months in ORES group and 13.5 ± 2.5 months in LMWA group, no long-term complication was observed.
CONCLUSION
Compared with ORES, LMWA is a safe and effective minimally invasive for treating giant hepatic hemangioma.
引言
本研究的目的是评估腹腔镜微波消融术（LMWA）与传统开放切除术（ORES）相比治疗巨大肝血管瘤的优缺点。
方法与分析
对2014年至2016年间接受LMWA或ORES治疗的肝血管瘤患者进行回顾性病历审查。
结果
131例患者中，37例行ORES，94例行LMWA。两组间失血量、手术时间、术后住院时间、住院费用（人民币）差异有统计学意义。LMWA术后患者的疼痛明显少于接受ORES的患者。ORES组平均随访12.8±3.6个月，LMWA组平均随访13.5±2.5个月，未观察到长期并发症。
结论
与ORES相比，LMWA是一种治疗巨大肝血管瘤安全有效的微创方法。
Zotero 插件