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目的探究腹腔镜肝癌切除术对原发性肝癌患者术中出血量及术后康复的影响。方法选择原发性肝癌患者82例,依据术式分为两组,观察组42例采用腹腔镜肝癌切除术治疗,对照组40例实施开腹肝癌切除术治疗,对比两组术前、术后肝功能指标水平,并比较两组手术情况、术后恢复及并发症情况。结果观察组术后[丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、总胆红素(TBi L)]水平均较对照组降低,差异有统计学意义(P<0.05);观察组术后进食时间、肛门排气、住院时间较对照组缩短,术中出血量较对照组减少,差异有统计学意义(P<0.05);观察组术后并发症发生率2.38%(1/42)低于对照组20.00%(8/40),差异有统计学意义(P<0.05)。结论对原发性肝癌患者采用腹腔镜肝癌切除术治疗效果显著,可明显改善患者肝功能,减少术中出血量,加速患者术后康复。
Objective To investigate the effect of laparoscopic resection of liver cancer on the intraoperative blood loss and postoperative recovery of patients with primary liver cancer. Methods Eighty-two patients with primary hepatocellular carcinoma (HCC) were selected and divided into two groups according to the surgical procedures. Forty-two patients in the observation group were treated with laparoscopic hepatectomy, 40 in the control group were treated by open hepatectomy. Liver function indicators, and compared the two groups of surgical conditions, postoperative recovery and complications. Results The levels of [ALT, AST, TBiL] in the observation group were significantly lower than those in the control group (P <0.05). The observation group had shorter postoperative feeding time, anus exhaust and hospital stay than those in the control group. The bleeding volume in the observation group was significantly lower than that in the control group (P <0.05). The postoperative complication rate 2.38% (1/42) lower than the control group 20.00% (8/40), the difference was statistically significant (P <0.05). Conclusions The results of laparoscopic resection of hepatocellular carcinoma in patients with primary liver cancer are significant. It can significantly improve the liver function, reduce the amount of intraoperative blood loss and accelerate the recovery after operation.