腹腔镜肝癌切除术治疗原发性肝细胞癌的临床效果
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摘要
目的探讨腹腔镜肝癌切除术与开腹肝癌切除术治疗原发性肝细胞癌的临床效果。方法收集2016年5月～2018年5月原发性肝细胞癌患者60例,按照治疗方式不同分为两组,对照组接受开腹肝癌切除术治疗,观察组接受腹腔镜肝癌切除术治疗,比较两组的治疗效果。结果经治疗,观察组的切口长度、术中出血量、首次进食时间、引流管留置时间和住院时间均低于对照组,差异有统计学意义(P<0.05)。观察组的并发症发生率为3.3%,低于对照组的13.3%,差异具有统计学意义(P<0.05)。观察组的VAS评分为(4.9±0.5)分,低于对照组的(8.7±1.1)分,差异具有统计学意义(P<0.05)。结论腹腔镜肝癌切除术治疗原发性肝细胞癌的效果显著,大大改善了患者症状,有效降低其并发症发生率,值得临床推广。
Objective To investigate the clinical effect of laparoscopic liver cancer resection and open liver cancer resection for primary hepatocellular carcinoma. Methods 60 patients with primary hepatocellular carcinoma from May2016 to May 2018 were enrolled. The patients were divided into two groups according to different treatment methods.The control group received laparoscopic liver cancer resection and the observation group received laparoscopic liver cancer resection. The effects between the two groups were compared. Results After treatment, the incision length, intraoperative blood loss, initial feeding time, drainage tube indwelling time and hospitalization time were lower in the observation group than those in the control group, and the difference was statistically significant(P<0.05). The complication rate of the observation group was 3.3%, which was lower than that of the control group(13.3%), and the difference was statistically significant(P<0.05). The VAS score of the observation group was 4.9±0.5, which was lower than that of the control group(8.7±1.1), and the difference was statistically significant(P<0.05). Conclusion Laparoscopic liver cancer resection is effective in the treatment of primary hepatocellular carcinoma, which greatly improves the symptoms of patients and effectively reduces the incidence of complications. It is worthy of clinical promotion.
Objective To investigate the clinical effect of laparoscopic liver cancer resection and open liver cancer resection for primary hepatocellular carcinoma. Methods 60 patients with primary hepatocellular carcinoma from May2016 to May 2018 were enrolled. The patients were divided into two groups according to different treatment methods.The control group received laparoscopic liver cancer resection and the observation group received laparoscopic liver cancer resection. The effects between the two groups were compared. Results After treatment, the incision length, intraoperative blood loss, initial feeding time, drainage tube indwelling time and hospitalization time were lower in the observation group than those in the control group, and the difference was statistically significant(P<0.05). The complication rate of the observation group was 3.3%, which was lower than that of the control group(13.3%), and the difference was statistically significant(P<0.05). The VAS score of the observation group was 4.9±0.5, which was lower than that of the control group(8.7±1.1), and the difference was statistically significant(P<0.05). Conclusion Laparoscopic liver cancer resection is effective in the treatment of primary hepatocellular carcinoma, which greatly improves the symptoms of patients and effectively reduces the incidence of complications. It is worthy of clinical promotion.
引文
[1]刘彬,丁佑铭.微创腹腔镜与传统开腹肝切除术治疗肝癌的近期疗效观察[J].中国肿瘤临床与康复,2017,10(2):146-149.
[2]曾尤松.腹腔镜肝切除治疗原发性肝癌的疗效观察[J].现代仪器与医疗,2015,21(4):115-116.
[3]古建辉,李云涛,张国云.腹腔镜与开腹肝部分切除术治疗肝细胞癌临床疗效比较[J].海南医学,2016,27(9):1426-1428.
[4]李慎玉.腹腔镜肝切除术、射频消融术及开腹肝切除术对原发性肝癌的临床疗效比较[J].中国卫生标准管理,2017,8(7):52-54.
[5]邓维,李强,张睿杰,等.开腹肝癌切除术与腹腔镜肝癌切除术治疗肝细胞癌病患临床疗效的比较[J].中国老年学,2016,36(17):4226-4228.
[6]李鸿飞,黄庆录,蔡小勇.腹腔镜肝叶切除术治疗原发性肝癌的疗效及技巧探讨[J].实用临床医药杂志,2015,19(9):112-113.
[7]刘廷洲,邵元伟,苑桂平.多极射频消融联合TACE治疗巨块型肝癌的疗效[J].中国介入影像与治疗学,2013,10(5):283-286.
[8]郭伟,赵金玉,齐春燕.疼痛管理对癌晚原发性肝期患者生命质量的影响分析[J].实用肝脏病杂志,2018,21(4):641-642.
[9]张浩,董科,俞小炯,等.完全腹腔镜和开腹肝切除手术治疗原发性肝细胞肝癌的近期和远期疗效比较[J].实用医学杂志,2017,33(12):1943-1948.
[10]徐畅,罗祥基,吴孟超,等.腹腔镜肝切除与开腹肝切除治疗原发性肝癌安全性及疗效的Meta分析[J].海军医学杂志,2016,37(5):439-442.
[11]杨松柏.腹腔镜与开腹肝切除术对比治疗肝癌的临床效果[J].现代诊断与治疗,2017,28(9):1690-1691.
[12]张旭,钱海鑫.肝癌腹腔镜及开腹治疗的临床疗效比较[J].现代肿瘤医学,2017,25(13):2086-2088.
[13]Zhao Y,Cai G,Zhou L,et al.Transarterial chemoembolization in hepatocellular carcinoma with vascular in invasion or extrahepatic metastasis:A systematic review[J].Asia Pac J Clin Oncol,2013,9(4):357-364.
[14]钟爱,陈健,郑树国,等.腹腔镜左半肝切除治疗原发性肝癌47例临床疗效研究[J].局解手术学杂志,2015,24(3):256-259..
[15]洪文,张忠伟,丛鹏,等.腹腔镜下左半肝切除术治疗原发性肝癌的临床疗效及安全性[J].腹腔镜外科杂志,2017,22(9):653-656.
[16]欧阳正晟,唐朝晖,吕丽娟,等.腹腔镜肝切除与开腹肝切除治疗原发性肝癌的临床比较[J].中国普通外科杂志,2017,26(1):126-130.
[2]曾尤松.腹腔镜肝切除治疗原发性肝癌的疗效观察[J].现代仪器与医疗,2015,21(4):115-116.
[3]古建辉,李云涛,张国云.腹腔镜与开腹肝部分切除术治疗肝细胞癌临床疗效比较[J].海南医学,2016,27(9):1426-1428.
[4]李慎玉.腹腔镜肝切除术、射频消融术及开腹肝切除术对原发性肝癌的临床疗效比较[J].中国卫生标准管理,2017,8(7):52-54.
[5]邓维,李强,张睿杰,等.开腹肝癌切除术与腹腔镜肝癌切除术治疗肝细胞癌病患临床疗效的比较[J].中国老年学,2016,36(17):4226-4228.
[6]李鸿飞,黄庆录,蔡小勇.腹腔镜肝叶切除术治疗原发性肝癌的疗效及技巧探讨[J].实用临床医药杂志,2015,19(9):112-113.
[7]刘廷洲,邵元伟,苑桂平.多极射频消融联合TACE治疗巨块型肝癌的疗效[J].中国介入影像与治疗学,2013,10(5):283-286.
[8]郭伟,赵金玉,齐春燕.疼痛管理对癌晚原发性肝期患者生命质量的影响分析[J].实用肝脏病杂志,2018,21(4):641-642.
[9]张浩,董科,俞小炯,等.完全腹腔镜和开腹肝切除手术治疗原发性肝细胞肝癌的近期和远期疗效比较[J].实用医学杂志,2017,33(12):1943-1948.
[10]徐畅,罗祥基,吴孟超,等.腹腔镜肝切除与开腹肝切除治疗原发性肝癌安全性及疗效的Meta分析[J].海军医学杂志,2016,37(5):439-442.
[11]杨松柏.腹腔镜与开腹肝切除术对比治疗肝癌的临床效果[J].现代诊断与治疗,2017,28(9):1690-1691.
[12]张旭,钱海鑫.肝癌腹腔镜及开腹治疗的临床疗效比较[J].现代肿瘤医学,2017,25(13):2086-2088.
[13]Zhao Y,Cai G,Zhou L,et al.Transarterial chemoembolization in hepatocellular carcinoma with vascular in invasion or extrahepatic metastasis:A systematic review[J].Asia Pac J Clin Oncol,2013,9(4):357-364.
[14]钟爱,陈健,郑树国,等.腹腔镜左半肝切除治疗原发性肝癌47例临床疗效研究[J].局解手术学杂志,2015,24(3):256-259..
[15]洪文,张忠伟,丛鹏,等.腹腔镜下左半肝切除术治疗原发性肝癌的临床疗效及安全性[J].腹腔镜外科杂志,2017,22(9):653-656.
[16]欧阳正晟,唐朝晖,吕丽娟,等.腹腔镜肝切除与开腹肝切除治疗原发性肝癌的临床比较[J].中国普通外科杂志,2017,26(1):126-130.