腹腔镜肝切除术在肝癌合并肝硬化患者中的应用
ObjectiveTo compare the perioperative outcomes of laparoscopic hepatectomy (LH) versus open hepatectomy (OH) for liver cancer patients with cirrhosis. MethodsFrom September 2010 to June 2012, 78 liver cancer patients with cirrhosis hospitalized in Renmin Hospital affiliated to Wuhan University were...
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Editorial Department of Journal of Clinical Hepatology
2014-06-01
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doaj-99511a1928f147f99099869763f9fe162020-11-24T22:46:40ZzhoEditorial Department of Journal of Clinical HepatologyLinchuang Gandanbing Zazhi1001-52561001-52562014-06-0130655255510.3969/j.issn.1001-5256.2014.06.019腹腔镜肝切除术在肝癌合并肝硬化患者中的应用XU Junhui0Department of Endoscopic Hepatobiliary Surgery, Renmin Hospital of Wuhan UniversityObjectiveTo compare the perioperative outcomes of laparoscopic hepatectomy (LH) versus open hepatectomy (OH) for liver cancer patients with cirrhosis. MethodsFrom September 2010 to June 2012, 78 liver cancer patients with cirrhosis hospitalized in Renmin Hospital affiliated to Wuhan University were considered for liver resection; among them, 32 patients were treated with LH, and 46 patients with OH. Intraoperative and postoperative conditions and tumor recurrence were compared between the two groups. Group t-test and paired t-test were used for measurement data, while chi-square test for enumeration data. ResultsThe comparison of two groups indicated that the following indicators were significantly lower in the LH group than in the OH group: intraoperative blood loss (t=0.057, P=0.04), incidence of postoperative complications (electrolyte imbalance, bile leakage, and ascites: t=3.001, 3.241, and 4.255, respectively, P<0.05 for all), liver function on the first day after operation (AST and ALT: t=3.427 and 3.201, P=0.001 and 0.002), postoperative time to oral intake (t=3.012, P=0.0007), length of hospital stay (t=2.157, P=0.003), and tumor recurrence (t=2.751, P=0006); whereas, the operative time in LH group was significantly longer than that in OH group (t=3.101, P=0.0026). ConclusionCompared with OH , LH has various advantages in liver cancer patients with cirrhosis, such as smaller abdominal incision, less intraoperative blood loss, lower incidence of postoperative ascites, decreased postoperative complications, shorter hospital stay, and lower incidence of tumor recurrence. http://www.lcgdbzz.org/qk_content.asp?id=5828&ClassID=424141227liver neoplasms; liver cirrhosis; laparoscopes; hepatectomy |
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language |
zho |
format |
Article |
sources |
DOAJ |
author |
XU Junhui |
spellingShingle |
XU Junhui 腹腔镜肝切除术在肝癌合并肝硬化患者中的应用 Linchuang Gandanbing Zazhi liver neoplasms; liver cirrhosis; laparoscopes; hepatectomy |
author_facet |
XU Junhui |
author_sort |
XU Junhui |
title |
腹腔镜肝切除术在肝癌合并肝硬化患者中的应用 |
title_short |
腹腔镜肝切除术在肝癌合并肝硬化患者中的应用 |
title_full |
腹腔镜肝切除术在肝癌合并肝硬化患者中的应用 |
title_fullStr |
腹腔镜肝切除术在肝癌合并肝硬化患者中的应用 |
title_full_unstemmed |
腹腔镜肝切除术在肝癌合并肝硬化患者中的应用 |
title_sort |
腹腔镜肝切除术在肝癌合并肝硬化患者中的应用 |
publisher |
Editorial Department of Journal of Clinical Hepatology |
series |
Linchuang Gandanbing Zazhi |
issn |
1001-5256 1001-5256 |
publishDate |
2014-06-01 |
description |
ObjectiveTo compare the perioperative outcomes of laparoscopic hepatectomy (LH) versus open hepatectomy (OH) for liver cancer patients with cirrhosis. MethodsFrom September 2010 to June 2012, 78 liver cancer patients with cirrhosis hospitalized in Renmin Hospital affiliated to Wuhan University were considered for liver resection; among them, 32 patients were treated with LH, and 46 patients with OH. Intraoperative and postoperative conditions and tumor recurrence were compared between the two groups. Group t-test and paired t-test were used for measurement data, while chi-square test for enumeration data. ResultsThe comparison of two groups indicated that the following indicators were significantly lower in the LH group than in the OH group: intraoperative blood loss (t=0.057, P=0.04), incidence of postoperative complications (electrolyte imbalance, bile leakage, and ascites: t=3.001, 3.241, and 4.255, respectively, P<0.05 for all), liver function on the first day after operation (AST and ALT: t=3.427 and 3.201, P=0.001 and 0.002), postoperative time to oral intake (t=3.012, P=0.0007), length of hospital stay (t=2.157, P=0.003), and tumor recurrence (t=2.751, P=0006); whereas, the operative time in LH group was significantly longer than that in OH group (t=3.101, P=0.0026). ConclusionCompared with OH , LH has various advantages in liver cancer patients with cirrhosis, such as smaller abdominal incision, less intraoperative blood loss, lower incidence of postoperative ascites, decreased postoperative complications, shorter hospital stay, and lower incidence of tumor recurrence. |
topic |
liver neoplasms; liver cirrhosis; laparoscopes; hepatectomy |
url |
http://www.lcgdbzz.org/qk_content.asp?id=5828&ClassID=424141227 |
work_keys_str_mv |
AT xujunhui fùqiāngjìnggānqièchúshùzàigānáihébìnggānyìnghuàhuànzhězhōngdeyīngyòng |
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