摘要
目的观察分析腹腔镜和开腹肝左外叶切除术患者围手术期及术后随访情况差异。方法回顾性分析2011年2月至2013年5月肝胆外科收入治疗的肝肿瘤患者62例,根据其采用的手术治疗方式分为腹腔镜组和开腹组,腹腔镜组患者30例,开腹组患者32例,应用SPSS16.0软件进行数据统计,年龄、肿瘤直径、手术时间、术中出血量、术中输血量、切口长度、术后禁食时间、引流管留置时间、术后住院时间这些数据采用x珋±s形式表示,行t检验;性别、Child-Pugh分级、并发症发生率、术后2年生存率这些数据采用卡方检验,P<0.05时表示差异有统计学意义。结果两组患者在年龄、肿瘤类型、Child-Pugh分级等基本情况上无统计学差异,P>0.05;腹腔镜组患者的术中出血量、术中输血量、切口长度、术后平均禁食时间、术后平均腹腔引流时间及住院时间上均显著优于开腹组患者,P<0.05;观察组患者术后2年生存率为93.3%与开腹组患者90.6%术后2年生存率无统计学差异,P>0.05。结论腹腔镜肝左叶切除术治疗肝肿瘤患者不仅均有较好的临床效果,同时对患者的损伤相对较小,利于患者术后的快速康复,值得临床应用。
Objective To investigate the difference in perioperative and postoperative follow-up conditions between open and laparoscopic hepatic left lateral lobectomy. Methods A retrospective analysis of 62 patients was conducted from February 2011 to May 2013. According to surgical treatment,the patients were divided into two groups： laparoscopic group（ 30 patients） and laparotomy group（ 32）. Age,operative time,blood loss,volume of blood transfusion,length of incision,postoperative duration without any diet,duration of sustaining draining tube,and hospitalization time were expressed as mean ± SD. Gender,Child-Pugh classification,the incidence of postoperative complications,and survival rate 2 years after operation were also calculated using the Chi-square test. P 〈 0. 05 was considered statistically significant.Results Demographic variables such as age of the two groups were not significantly different（ P 〈 0. 05）.Blood loss,volume of blood transfusion,length of incision,average postoperative duration without any diet,average duration of draining tube reserve,and duration of hospitalization were significantly improved as compared to those in the laparotomy group（ P 〈 0. 05）. The 2-year survival rate had no significant difference between the two groups（ P 〈 0. 05）. Conclusion Laparoscopic resection of the left liver lobe is effective in treating patients with cancer and facilitates rapid recovery despite it induces a small trauma.
出处
《中华普外科手术学杂志（电子版）》
2016年第2期174-176,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
