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目的探讨手助腹腔镜在肝癌切除术中临床应用的价值。方法将近期手术切除的47例原发性肝癌随机分为3组:手助腹腔镜肝癌切除术(I组)16例,单纯腹腔镜肝癌切除术(Ⅱ组) 14例,开放式肝癌切除术(Ⅲ组)17例,对其治疗及效果进行统计分析。采用SPSS11．0软件,应用单因素方差分析法(One-Way ANOVA),组间比较采用LSD检验。结果I组与Ⅱ组的手术时间分别为3．46 h及4．06 h(P<0．001),其差异有显著性;I组与Ⅲ组的术中出血量、住院时间、肝功能影响、近期并发症率分别为119．38 ml及238．82 ml(P<0．001),8．31 d及10．53 d(P<0．001),47．13 U／L及125．53 U／L(P<0．001),0．00％及23．53％(P=0．014),其差异有显著性。结论手助腹腔镜肝癌切除术具有微创、安全、效果好等优势,有较高的临床应用价值。
Objective To explore the value of hand-assisted laparoscopy in the clinical application of hepatectomy. Methods Forty-seven patients with primary hepatocellular carcinoma (HCC) who underwent resection were randomly divided into three groups: 16 cases in group I (assisted hand laparoscopic liver cancer resection), 14 cases in group II (group II), open hepatectomy (Group Ⅲ) 17 cases, the treatment and effect of statistical analysis. Using SPSS11.0 software, single-factor analysis of variance (One-Way ANOVA), between groups using LSD test. Results The operative time of group I and group II were 3.46 h and 4.06 h respectively (P <0.001), and the difference was significant. The intraoperative bleeding, length of hospital stay, liver function And the recent complication rates were 119.38 ml and 238.82 ml (P <0.001), 8.31 and 10.53 days (P <0.001), 47.13 U / L and 125 .53 U / L (P <0.001), 0.00% and 23.53% (P = 0.014), the difference was significant. Conclusion Hand-assisted laparoscopic resection of liver cancer has the advantages of minimally invasive, safe, good effect, and has a high clinical value.