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Comparison of laparoscopic vs open liver lobectomy(segmentectomy) for hepatocellular carcinoma 被引量:32

Comparison of laparoscopic vs open liver lobectomy(segmentectomy) for hepatocellular carcinoma
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摘要 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 sametime 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 bloodloss amounts,operating times and complications. Patients in the laparoscopic hepatectomy group started walking and eating significantly earlier than those inthe open hepatectomy group,and these more rapid recoveries allowed for shorter hospitalizations. There were no significant differences between procedures insurvival 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. AIM: To investigate the effects of laparoscopic hepa- tectomy 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 conven- tional open hepatectomy over laparoscopic hepatec- tomy at the time of informed consent. The degree of invasiveness and outcomes of laparoscopic hepatec- tomy compared to open hepatectomy for HCC were evaluated. RESULTS: Both groups presented with similar blood loss amounts, operating times and complications, Pa- tients 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 ben- eficial for patient quality of life if the indications are appropriately based on preoperative liver function and the location and size of the HCC.
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第42期4725-4728,共4页 世界胃肠病学杂志(英文版)
关键词 LAPAROSCOPY Hepatocellular carcinoma Liver resection Liver Iobectomy 腹腔镜 肝癌 工作时间 切除术 肝细胞癌 生活质量 HCC 肝切除
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