【摘要】 目的比较腹腔镜与开腹手术治疗肝癌的临床效果。方法选取2015年12月~2016年12月我院收治的54例肝癌患者作为研究对象,随机分为腹腔镜组和开腹组,每组27例,比较两组的手术情况和肝功能恢复情况。结果腹腔镜组患者的住院时间、腹腔引流时间、术后禁食时间及术中出血量与开腹组相比,差异均具有统计学意义(P<0.05);腹腔镜组患者中有1例为Child B级,而开腹组患者中Child B级有6例,同时,手术前两组患者的谷丙转氨酶、谷草转氨酶和总胆红素相比,差异均无统计学意义(P>0.05),手术后两组患者的谷丙转氨酶、谷草转氨酶和总胆红素与手术前相比均增高,差异均有统计学意义(P<0.05),且手术后腹腔镜组患者的总胆红素水平与开腹组相比,差异无统计学意义(P>0.05),而手术后腹腔镜组患者的谷丙转氨酶和谷草转氨酶等肝功能指标显著低于开腹组,差异均具有统计学意义(P<0.05)。结论对肝癌患者实施腹腔镜肝切除术效果确切,安全性高,且利于患者的术后肝功能恢复。更多还原

【Abstract】 Objective To compare the clinical effect of laparoscopic and Laparotomy in the treatment of liver cancer.Methods A total of 54 patients with liver cancer who were admitted to our hospital from December 2015 to December 2016 were selected as the research subjects and randomly divided into laparoscopy group and laparotomy group, with 27 cases in each group. The surgical conditions and liver function recovery were compared between the two groups.Results The length of stay, intraperitoneal drainage time, postoperative fasting time and intraoperative blood loss in the laparoscopy group were compared with those in the laparotomy group, and the differences were statistically significant(P<0.05); one case in the laparoscopy group was Child level B, while there were 6 cases with Child level B in the laparotomy group. At the same time, there were no statistically significant differences in alanine aminotransferase, aspartate aminotransferase and total bilirubin between the two groups before the surgery(P >0.05). The levels of alanine aminotransferase, aspartate aminotransferase and total bilirubin in both groups after the surgery were higher than those before the surgery, and the differences were statistically significant(P<0.05); there was no statistically significant difference in the total bilirubin level between the two groups after the surgery(P>0.05). The liver function indexes such as alanine aminotransferase and aspartate aminotransferase in laparoscopy group were significantly lower than those in laparotomy group, and the differences were statistically significant(P<0.05). Conclusion Laparoscopic hepatectomy for the patients with liver cancer is effective and safe, and it is beneficial to the recovery of postoperative liver function.更多还原