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目的探讨肝门部Glisson蒂横断式肝切除术对预防肿瘤复发的应用效果。方法选择我院2015年5月~2016年7月进行肝切除手术的患者60例作为研究对象,按照治疗方式分为对照组和研究组。对照组30例,采用常规肝切除术,研究组30例,采用Glisson蒂横断式切除方式。比较两种手术方式对预防肝肿瘤复发的效果。结果两组患者的手术时间差异无统计学意义(P>0.05),两组的复发率术中出血量、住院时间、并发症发生率,术后1、7 d的ALT、Alb差异有统计学意义(P<0.05),随访1年,研究组的复发率(10.0%)低于对照组(36.7%),两组差异有统计学意义(P<0.05)。结论 Glisson蒂横断式肝切除术能够减少术中出血量,减少肝肿瘤复发,效果明显,可提高患者的生存率,具有应用价值。
Objective To investigate the effect of hepatic Glisson transection hepatectomy on the prevention of tumor recurrence. Methods Sixty patients who underwent hepatectomy in our hospital from May 2015 to July 2016 were selected as the study subjects. The patients were divided into control group and study group according to treatment. In the control group, 30 patients were treated with conventional hepatectomy, and 30 patients in the study group were treated with Glisson pedicle cross-sectional resection. Compare the effects of the two surgical methods on the prevention of liver tumor recurrence. Results There was no significant difference in the operation time between the two groups (P>0.05). The recurrence rate of the two groups was related to the amount of intraoperative blood loss, length of hospital stay, incidence of complications, and the differences in ALT and Alb after 1 and 7 days. Significance (P<0.05). Follow-up 1 year, the recurrence rate of the study group (10.0%) was lower than the control group (36.7%), the difference between the two groups was statistically significant (P<0.05). Conclusion Glisson transection hepatectomy can reduce the amount of intraoperative blood loss, reduce the recurrence of liver tumors, has obvious effect, can improve the survival rate of patients, and has application value.