|
|
|
| Process laparoscopic left lateral hepatic lobectomy;Open left lateral hepatic lobectomy;Liver function;Complications;Primary hospitals |
| DENG Gao-wang DING Jin-huo |
| Department of General Surgery,ShangRao People′s Hospital,Jiangxi Province,Shangrao 334000,China |
|
|
|
|
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.
|
|
Received: 05 March 2020
|
|
|
|
| [1] |
吴孟超，吴在德.黄家驷外科学[M].7版.北京：人民卫生出版社，2008：1810-1816.
|
| [2] |
林师佈，杨彦，涂伟，等.腹腔镜肝切除术和开腹肝切除术对肝功能影响的对比研究[J].海南医学院学报，2019，25（21）：1646-1650.
|
| [3] |
马逸云，蒋华，张宏亨.腹腔镜肝切除术与开腹肝切除术治疗肝硬化肝细胞癌患者的效果比较[J].临床肝胆病杂志，2016，32（10）：1916-1919.
|
| [4] |
中华医学会外科分会肝脏外科学组.腹腔镜肝切除专家共识与手术操作指南（2013版）[J].中华消化外科杂志，2013，12（3）：161-165.
|
| [5] |
刘荣，赵国栋.肝左外叶切除“金标准”术式：腹腔镜肝左外叶切除术[J].中华腔镜外科杂志（电子版），2010，3（6）：474-478.
|
| [6] |
冯丽，吴硕东.经脐单孔腹腔镜肝左外叶切除术治疗肝脏良性肿瘤效果观察[J].中华实用诊断与治疗杂志，2018，32（6）：564-566.
|
| [7] |
向伦建，刘燕，程黎，等.腹腔镜肝切除术与开腹肝切除术治疗肝细胞癌的临床疗效[J].国际外科学杂志，2019，46（2）：112-118.
|
| [8] |
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.
|
| [9] |
尹新民，徐威，成伟，等.“两步分层法”腹腔镜肝左外叶切除术的临床应用价值[J].中华肝脏外科手术学电子杂志，2015，4（6）：340-343.
|
| [10] |
胡晓川，江振辉，陈振远.腹腔镜与开腹肝切除术治疗肝左叶疾病的对比研究[J].中华普通外科杂志，2018，33（8）：672-674.
|
| [11] |
张翼，罗洪亮，吴华俊，等.模式化与传统腹腔镜肝左外叶切除术的临床对比研究[J].中国普通外科杂志，2017，26（1）：77-82.
|
| [12] |
司爽，杨志英，谭海东，等.模式化腹腔镜肝左外叶切除术治疗肝血管瘤的临床应用（附44例报告）[J].腹腔镜外科杂志，2018，23（5）：333-336.
|
| [13] |
柯志刚，徐江浩，刘本杰，等.腹腔镜左肝外叶切除术在基层医院的应用[J].浙江临床医学，2016，18（12）：2307，2320.
|
| [14] |
王学文，杨昆，邱桂刚，等.腹腔镜肝左外叶切除术58例回顾性分析[J].肝胆胰外科杂志，2017，29（4）：281-284.
|
| [15] |
杨小华，温阳辉，沈益诚，等.标准化腹腔镜肝左外叶切除术的实践及效果[J].中华肝胆外科杂志，2019，25（5）：329-332.
|
|
|
|
