摘要
目的:探讨肝脏困难部位占位性病变的微创手术效果。方法:选取2012年1月至2015年12月行腹腔镜肝切除术的31例肝困难部位占位性病变患者及78例肝外周部位占位性病变患者为研究对象,分为观察组与对照组。比较两组患者基线资料、手术资料、术后资料及随访结果。结果:两组患者临床资料、术中失血量、术中输血比例、阴性切缘比例、术后恢复流质饮食时间、应用镇痛药的比例、术后并发症发生率差异均无统计学意义(P>0.05)。观察组手术时间、术后住院时间显著长于对照组(P<0.05)。并发症均经对症支持治疗后好转,未发生围手术期死亡。随访期间,两组死亡率差异无统计学意义(P>0.05)。结论:与外周部位相比,腹腔镜下肝脏困难部位切除术的术中出血量、术后恢复情况、并发症发生率相近,是安全、可行的。
Objective： To investigate the effect of minimally invasive surgery in the treatment of liver space occupying lesion in the segments with difficult access. Methods： Thirty-one patients with liver space occupying lesion in the segments with difficult access and 78 patients with liver space occupying lesion in the peripheral position who underwent laparoscopic hepatectomy from Jan. 2012 to Dec. 2015 were enrolled into the study as observation group and control group respectively. Baseline data,operative,postoperative data and follow-up results were compared between the two groups. Results： There were no significant differences in baseline data,intraoperative blood loss,ratio of intraoperative blood transfusion,negative margin,recovery liquid diet time,rate of analgesics treatment and the incidence of postoperative complications between two groups（ P〉0. 05）. The operation time and postoperative hospital stay in observation group were significantly longer than those in the control group（ P〈0. 05）. All complications were cured after symptomatic treatment,and no one died during the perioperative period. There was no statistically significant difference in mortality during the follow-up period（ P〉0. 05）. Conclusions： Compared with the peripheral position,the intraoperative blood loss,postoperative recovery and incidences of complications of laparoscopic hepatectomy for difficult position of liver is similar,this procedure is safe and feasible.
作者
王先锋
金锦春
周亮
WANG Xian-feng;JIN Jin-chun;ZHOU Liang(Department of Hepatobiliary General Surgery, Xinchang People ~s Hospital of Wenzhou Medical University, Wenzhou 312500, China)
出处
《腹腔镜外科杂志》
2018年第2期81-84,共4页
Journal of Laparoscopic Surgery
