Comparison of laparoscopic vs open liver lobectomy (segmentectomy) for hepatocellular carcinoma
Comparison of laparoscopic vs open liver lobectomy (segmentectomy) for hepatocellular carcinoma
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DOI：
10.3748/wjg.v17.i42.4725
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发表时间：
2011-11-14
影响因子：
4.3
通讯作者：
Tan, Jing-Wang
中科院分区：
文献类型：
--
作者：
Hu, Ben-Shun;Chen, Ke;Tan, Jing-Wang
目的：目的：探讨腹腔镜肝切除术治疗原发性肝癌的临床效果。方法：2006年1月至2011年1月，在北方人民医院行腹腔镜肝切除术30例。在同一时间段内，30例患者在知情同意时选择接受传统开放式肝切除术而非腹腔镜肝切除术。腹腔镜肝切除术的侵入性程度和结果相比，开放肝切除术HCC进行了evaluated.RESULTS：两组相似的失血量，手术时间和并发症。腹腔镜肝切除术组的患者开始行走和进食的时间明显早于开腹肝切除术组，这些更快的恢复允许更短的住院时间。有没有显着差异程序之间的生存率。结论：腹腔镜肝切除术是有益的患者的生活质量，如果适应症是适当的术前肝功能和位置和大小的HCC。(C)2011年百世登。All rights reserved.
AIM: To investigate the effects of laparoscopic hepatectomy for the treatment of hepatocellular carcinoma (HCC).METHODS: From 2006 to January 2011, laparoscopic hepatectomies were performed on 30 cases of HCC at Northern Jiangsu People's Hospital. During this same time period, 30 patients elected to undergo conventional open hepatectomy over laparoscopic hepatectomy at the time of informed consent. The degree of invasiveness and outcomes of laparoscopic hepatectomy compared to open hepatectomy for HCC were evaluated.RESULTS: Both groups presented with similar blood loss amounts, operating times and complications. Patients in the laparoscopic hepatectomy group started walking and eating significantly earlier than those in the open hepatectomy group, and these more rapid recoveries allowed for shorter hospitalizations. There were no significant differences between procedures in survival rate.CONCLUSION: Laparoscopic hepatectomy is beneficial for patient quality of life if the indications are appropriately based on preoperative liver function and the location and size of the HCC. (C) 2011 Baishideng. All rights reserved.