【摘要】：目的 比較程序化腹腔鏡肝左外葉切除術(shù)(programmed laparoscopic left lateral segment liver resection, LLLR)與開(kāi)腹肝左外葉切除術(shù)(open left lateral segment liver resection,OLLR)治療肝左外葉肝癌的療效。方法回顧性分析我院2011年10月～2014年12月其中30例程序化腹腔鏡肝左外葉切除術(shù)與30例開(kāi)腹肝左外葉切除術(shù)治療肝左外葉肝癌的兩組臨床資料,簡(jiǎn)單介紹程序化腹腔鏡肝左外葉切除術(shù)方式及術(shù)中相關(guān)注意事項(xiàng)。比較兩組的手術(shù)時(shí)間、術(shù)中失血量、術(shù)后住院時(shí)間、術(shù)后拔管時(shí)間、術(shù)后使用鎮(zhèn)痛藥物次數(shù)、胃腸功能恢復(fù)時(shí)間、術(shù)前及術(shù)后第1天、第3天的TBiL、白蛋白、AST、ALT情況。結(jié)果兩組患者均順利完成手術(shù),程序化腹腔鏡組無(wú)中轉(zhuǎn)開(kāi)腹,程序化腹腔鏡組與開(kāi)腹組數(shù)據(jù)比較手術(shù)時(shí)間、術(shù)前白蛋白、ALT、AST,術(shù)前和術(shù)后膽紅素比較均無(wú)統(tǒng)計(jì)學(xué)差異(P0.05)。術(shù)中出血量、術(shù)后住院時(shí)間、術(shù)后拔管時(shí)間、術(shù)后使用鎮(zhèn)痛藥物次數(shù)、胃腸功能恢復(fù)時(shí)間、術(shù)后白蛋白、丙氨酸氨基轉(zhuǎn)移酶ALT、冬氨酸氨基轉(zhuǎn)移酶AST恢復(fù)情況均有統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論程序化腹腔鏡肝左外葉切除術(shù)具有簡(jiǎn)便性、安全性、可行性,較開(kāi)腹肝左外葉切除術(shù)充分發(fā)揮了腹腔鏡技術(shù)的創(chuàng)傷小、恢復(fù)快、總體療效顯著等微創(chuàng)優(yōu)勢(shì)。
[Abstract]:Objective to compare the efficacy of laparoscopic left lateral lobectomy (programmed laparoscopic left lateral segment liver resection, LLLR) and open left lateral lobectomy (open left lateral segment liver LLLR) in the treatment of left lateral lobe liver cancer (LLHC). Methods from October 2011 to December 2014, the clinical data of 30 cases of laparoscopic left lateral lobectomy and 30 cases of open left lateral lobectomy were retrospectively analyzed. This paper briefly introduces the procedure of laparoscopic left lateral hepatic lobectomy and the relevant points for attention during the operation. The time of operation, the amount of blood lost during operation, the time of postoperative hospitalization, the time of extubation, the times of postoperative analgesic use, the time of recovery of gastrointestinal function, the TBiL and albumin ASTALT before and after operation were compared between the two groups. Results the operation was completed successfully in the two groups. There was no conversion to open surgery in the programmed laparoscopic group. The operation time was compared between the programmed laparoscopic group and the open group. There was no significant difference between the preoperative and postoperative bilirubin levels (P0.05). There were significant differences in intraoperative bleeding, postoperative hospitalization time, postoperative extubation time, postoperative analgesic times, recovery time of gastrointestinal function, postoperative albumin, alanine aminotransferase (alt), aspartate aminotransferase (AST) recovery (P0.05). Conclusion the procedure of laparoscopic left lateral lobectomy is simple, safe and feasible. It has the advantages of less trauma, faster recovery and better overall curative effect than laparoscopic left lateral lobectomy.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R657.3

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