Comparation on Perioperative Period Situation of Laparoscopic Hepatectomy and Open Hepatectomy for Treatment of Primary Hepatic Carcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 姜海涛 ,  曹景玉 , 邹浩 , 李衍彦 , 王玉方 , 李洁旭 , 孙良金

青岛大学医学院附属医院肝胆外科（山东青岛 266003）;

Corresponding author：

曹景玉, Email: jht5019@aliyun.com

Keywords：

腹腔镜; 剖腹术; 原发性肝癌; 围手术期

DOI：

10.7507/1007-9424.20140018

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的了解腹腔镜肝切除术（laparoscopic hepatectomy，LH）与开腹肝切除术（open hepatectomy，OH）治疗原发性肝癌的围手术期状况的变化。方法回顾性分析2012年1月至2013年6月期间青岛大学医学院附属医院肝胆外科收治的40例原发性肝癌患者的临床资料，其中20例行LH，20例行OH，比较2组患者的术前一般情况、术中情况和术后恢复情况。结果 2组患者术前一般情况的差异均无统计学意义（P＞0.05）；在切口长度、术中出血量、术后肝功能指标、胃肠功能恢复情况和术后住院时间方面LH具有明显的优势（P＜0.05），而在手术时间、术后并发症和住院总费用方面2组间差异无统计学意义（P＞0.05）。结论 LH较传统的OH可明显改善肝癌患者的围手术期状况，值得在有条件的情况下开展推广。

Citation： 姜海涛, 曹景玉, 邹浩, 李衍彦, 王玉方, 李洁旭, 孙良金. Comparation on Perioperative Period Situation of Laparoscopic Hepatectomy and Open Hepatectomy for Treatment of Primary Hepatic Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(1): 89-91. doi: 10.7507/1007-9424.20140018 Copy

1.	Dagher I, Di Giuro G, Dubrez J, et al.Laparoscopic versus open right hepatectomy:a comparative study[J].Am J Surg, 2009, 198(2):173-177.
2.	Reich H, McGlynn F, DeCaprio J, et al.Laparoscopic excision of benign liver lesions[J].Obstet Gynecol, 1991, 78(5 Pt 2):956-958.
3.	Nguyen KT, Gamblin TC, Geller DA.World review of laparos-copic liver resection-2, 804 patients[J].Ann Surg, 2009, 250(5):831-841.
4.	王枫, 周东, 黄峰, 等.腹腔镜肝切除术11例临床报告[J].腹腔镜外科杂志, 2009, 14(6):404-406.
5.	Dagher I, Belli G, Fantini C, et al.Laparoscopic hepatectomy for hepatocellular carcinoma:a European experience[J].J Am Coll Surg, 2010, 211(1):16-23.
6.	Tranchart H, Di Giuro G, Lainas P, et al.Laparoscopic resection for hepatocellular carcinoma:a matched-pair comparative study[J].Surg Endosc, 2010, 24(5):1170-1176.
7.	Ito K, Ito H, Are C, et al.Laparoscopic versus open liver resection:a matched-pair case control study[J].J Gastrointest Surg, 2009, 13(12):2276-2278.
8.	Nguyen KT, Marsh JW, Tsung A, et al.Comparative benefits of laparoscopic vs.open hepatic resection[J].Arch Surg, 2011, 146(3):348-356.
9.	Ishizawa T, Gumbs AA, Kokudo N, et al.Laparoscopic segmen-tectomy of the liver:from segment Ⅰ to Ⅷ[J].Ann Surg, 2012, 256(6):959-964.
10.	张锦辉.腹腔镜与开腹肝切除术治疗肝脏疾病的疗效比较[J].中国医药导报, 2010, 7(15):30-32.
11.	刘天锡, 方登华, 关斌颖, 等.腹腔镜肝切除治疗肝脏肿瘤的临床探讨[J].中国普外基础与临床杂志, 2012, 19(5):526-529.
12.	席兆华.腹腔镜肝切除术的研究进展[J].中国临床新医学, 2008, 1(1):94-96.
13.	刘荣, 周宁新, 黄志强, 等.腹腔镜肝切除术的可行性[J].中国微创外科杂志, 2005, 5(1):18-20.
14.	蔡秀军, 王一帆.腹腔镜解剖性肝切除术[J].肝胆外科杂志, 2009, 17(1):11-12.

1. Dagher I, Di Giuro G, Dubrez J, et al.Laparoscopic versus open right hepatectomy:a comparative study[J].Am J Surg, 2009, 198(2):173-177.
2. Reich H, McGlynn F, DeCaprio J, et al.Laparoscopic excision of benign liver lesions[J].Obstet Gynecol, 1991, 78(5 Pt 2):956-958.
3. Nguyen KT, Gamblin TC, Geller DA.World review of laparos-copic liver resection-2, 804 patients[J].Ann Surg, 2009, 250(5):831-841.
4. 王枫, 周东, 黄峰, 等.腹腔镜肝切除术11例临床报告[J].腹腔镜外科杂志, 2009, 14(6):404-406.
5. Dagher I, Belli G, Fantini C, et al.Laparoscopic hepatectomy for hepatocellular carcinoma:a European experience[J].J Am Coll Surg, 2010, 211(1):16-23.
6. Tranchart H, Di Giuro G, Lainas P, et al.Laparoscopic resection for hepatocellular carcinoma:a matched-pair comparative study[J].Surg Endosc, 2010, 24(5):1170-1176.
7. Ito K, Ito H, Are C, et al.Laparoscopic versus open liver resection:a matched-pair case control study[J].J Gastrointest Surg, 2009, 13(12):2276-2278.
8. Nguyen KT, Marsh JW, Tsung A, et al.Comparative benefits of laparoscopic vs.open hepatic resection[J].Arch Surg, 2011, 146(3):348-356.
9. Ishizawa T, Gumbs AA, Kokudo N, et al.Laparoscopic segmen-tectomy of the liver:from segment Ⅰ to Ⅷ[J].Ann Surg, 2012, 256(6):959-964.
10. 张锦辉.腹腔镜与开腹肝切除术治疗肝脏疾病的疗效比较[J].中国医药导报, 2010, 7(15):30-32.
11. 刘天锡, 方登华, 关斌颖, 等.腹腔镜肝切除治疗肝脏肿瘤的临床探讨[J].中国普外基础与临床杂志, 2012, 19(5):526-529.
12. 席兆华.腹腔镜肝切除术的研究进展[J].中国临床新医学, 2008, 1(1):94-96.
13. 刘荣, 周宁新, 黄志强, 等.腹腔镜肝切除术的可行性[J].中国微创外科杂志, 2005, 5(1):18-20.
14. 蔡秀军, 王一帆.腹腔镜解剖性肝切除术[J].肝胆外科杂志, 2009, 17(1):11-12.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparation on Perioperative Period Situation of Laparoscopic Hepatectomy and Open Hepatectomy for Treatment of Primary Hepatic Carcinoma

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