Abstract：Objective To study the feasibility of process laparoscopic left lateral hepatic lobectomy in primary hospitals.Methods The clinical data of 82 patients with liver diseases treated in our hospital from January 2016 to August 2019 were retrospectively analyzed,and they were divided into three groups according to the different treatment methods.The 26 patients who received the treatment of open left lateral hepatic lobectomy were divided into the open group,the 28 patients who received the treatment of conventional laparoscopic left lateral hepatic lobectomy were divided into conventional laparoscopic group,and the 28 patients who received the treatment of process laparoscopic left lateral hepatic lobectomy were divided into process laparoscopic group.The perioperative indexes,liver function indexes(alanine transaminase[ALT],aspartate aminotransferase[AST])and complications of the three groups were compared.Results The intraoperative blood loss of the patients in the process laparoscopy group was less than that of the conventional laparoscopy group and the open group,the operation time and gastrointestinal recovery time were shorter than those of the conventional laparoscopy group and the open group,the differences were statistically significant(P＜0.05);The hospitalization time of patients in the process laparoscopic group and the conventional laparoscopic group was shorter than that of the open group,and the difference was statistically significant(P＜0.05).The ALT and AST of the postoperative process laparoscopy group and the conventional laparoscopy group were lower than those of the open group,the differences were statistically significant(P＜0.05).There were no significant differences in the total incidence of complications among the three groups of patients(P＞0.05).Conclusion The patients process laparoscopic left lateral hepatic lobectomyhave less intraoperative bleeding,less trauma and quick recovery after surgery,and postoperative complications have not increased.The feasibility and safety of development in primary hospitals are relatively high.
收稿日期: 2020-03-05
基金资助:江西省卫生健康委员会科技计划项目（20204799）
作者简介: 邓高旺（1983-），男，江西上饶人，硕士，副主任医师，研究方向：肝胆外科疾病
引用本文:
邓高旺 丁金火. 流程化腹腔镜左肝外叶切除在基层医院开展的可行性研究
[J]. 中国当代医药, 2020, 27(24): 106-109.
DENG Gao-wang DING Jin-huo. Process laparoscopic left lateral hepatic lobectomy;Open left lateral hepatic lobectomy;Liver function;Complications;Primary hospitals. 中国当代医药, 2020, 27(24): 106-109.
京公网安备 11010502046607号