摘要
目的探讨通过改良单孔腹腔镜肝左叶切除术的安全性和有效性。方法选取黔南州人民医院肝胆外科2022年8月—2023年12月行腹腔镜肝左叶切除术的30例患者为研究对象,根据不同腹腔镜打孔术式进行分组,接受改良单孔腹腔镜肝左叶切除术的15例纳入研究组,接受5孔法腹腔镜肝左叶切除术的15例纳入对照组。比较2组的手术时间、术中出血量、住院时间、手术费用、术后并发症及术后3个月患者的满意度和生存质量。结果2组患者的手术时间、术中出血量、住院时间、手术费用、术后并发症发生率比较差异均无统计学意义(P>0.05)。术后随访中,研究组患者的总满意度为93.33%,生存质量良好率为100%,明显高于对照组的46.67%、33.33%,比较差异均有统计学意义(P<0.05)。结论改良单孔腹腔镜肝左叶切除术与多孔腹腔镜肝左叶切除术治疗效果相当,但患者术后满意度更高,生存质量更好。
Objective To explore the safety and effectiveness of improved single port laparoscopic left hepatectomy.Methods A total of 30 patients who underwent laparoscopic left hepatic lobectomy from August 2022 to December 2023 in the department of hepatobiliary surgery of Qiannan People's Hospital were selected as the study subjects,and they were grouped according to different laparoscopic perforation methods.Fifteen patients who underwent improved single port laparoscopic left hepatectomy were included in the study group,and 15 patients who underwent 5-pore laparoscopic left hepatectomy were included in the control group.The operation time,intraoperative blood loss,length of hospital stay,operation cost,postoperative complications,satisfaction and quality of life of patients 3 months after surgery were compared between two groups.Results There were no significant difference in the operation time,intraoperative blood loss,length of hospital stay,operation costs and postoperative complication rate between the two groups(P>0.05).In the postoperative follow-up,the total satisfaction rate of patients in the study group was 93.33%,and the rate of good quality of life was 100%,which was significantly higher than 46.67%and 33.33%in the control group,and the differences were statistically significant(P<0.05).Conclusion Improved single port laparoscopic left lobectomy and multi port laparoscopic left lobectomy have comparable therapeutic effects,but patients have higher postoperative satisfaction and better quality of life.
作者
韦兴祥
吴田方
岑荣飞
WEI Xingxiang;WU Tianfang;CEN Rongfei(Department of Hepatobiliary Surgery,Qiannan People's Hospital,Duyun Guizhou 558000,China)
出处
《中国卫生标准管理》
2024年第19期105-108,共4页
China Health Standard Management
关键词
单孔
多孔
腹腔镜手术
肝左叶切除术
生存质量
效果
single pore
porous
laparoscopic surgery
left hepatectomy
quality of life
effect
