文章摘要
柳己海1,2 李明杰1 郑直1 郑小林1 何涛1.腹腔镜肝癌切除术与开放式肝癌切除术的疗效比较研究[J].,2011,11(18):3504-3506
腹腔镜肝癌切除术与开放式肝癌切除术的疗效比较研究
Comparative Study on Curative Effect of Laparoscopic Resection and OpenSurgery for Hepatocellular Carcinoma
  
DOI:
中文关键词: 腹腔镜  肝癌  切除术
英文关键词: Laparoscopy  Liver  Resection
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作者单位
柳己海1,2 李明杰1 郑直1 郑小林1 何涛1 武汉市中心医院普外科 
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中文摘要:
      目的:探讨腹腔镜肝癌切除手术治疗原发性肝癌的可行性及安全性。方法:选取2008 年6 月至2011 年1 月在我院行腹腔 镜肝癌切除术的30 例患者作为研究对象,另外选择同期在我院行开放式肝癌切除术的30 例患者作为对照。结果:30 例均在腹腔 镜下成功地完成手术, 其中22 例行腹腔镜局部切除术, 8 例行肝左外叶切除术。手术时间103-142 min,出血量60-480mL,术后均 未发生严重并发症,术后平均住院8. 6 d。术后随访18~36 个月,局部复发或种植性转移率与对照组无显著差异。结论:腹腔镜肝癌 切除术是安全可行治疗原发性肝癌的手术方式。
英文摘要:
      Objective: To evaluate the feasibility and safety of laparoscopic liver resection for hepatocellular carcinoma. Methods: A total of 30 patients were chosen as research subjects ,who were performed laparoscopic liver resections on from June 2008 to January 2011 in our hospital; in the meantime, 30 patients, as controls, who, open liver resections. Results: 30 cases were successfully completed in laparoscopic surgery, 22 underwent laparoscopic local resection, and 8 underwent hepatic left lateral lobectomy. Operative time was 103-142 min, blood loss was 60-480mL, no serious postoperative complications, postoperative hospital stay 8. 6 d. 18 to 36 months followed up were conducted and we found no significant differences of local recurrence or metastasis rate between laparoscopic surgery and control group. Conclusion: Laparoscopic liver resection is a feasible and safe surgical treatment for primary liver cancer.
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