Minimally invasive surgery in patients with space-occupying lesions of left hepatic lobe
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摘要: 目的 探讨肝左叶占位性病变患者的微创手术效果。 方法 选取本院接受治疗的84例患者为研究对象,按照随机数表法将患者分为2组。观察组42例采用腹腔镜肝切除术,对照组42例采用常规开腹肝切除术。比较2组手术时间、切口长度、住院时间、引流管留置时间。记录2组术后谷丙转氨酶、谷草转氨酶以及胆红素水平,并比较2组并发症总发生率情况。 结果 观察组手术时间显著长于对照组(P<0.05); 观察组切口长度、住院时间、引流管留置时间显著短于对照组(P<0.05); 观察组术后谷丙转氨酶、谷草转氨酶以及胆红素水平显著低于对照组(P<0.05); 观察组并发症总发生率显著低于对照组(P<0.05)。 结论 腹腔镜下肝切除术治疗肝左叶占位性疾病具有显著疗效,能够缩短患者住院时间,促进患者恢复,具有微创、恢复快的优点,同时能够显著降低肝左叶占位性病变患者的并发症发生率,具有较高的安全性。Abstract: Objective To explore effect of minimally invasive surgery in patients with space-occupying lesions of left hepatic lobe. Methods A total of 84 patients treated in our hospital were selected as research objects. According to random number table method, the patients were divided into two groups by random number table method, among whom 42 patients who underwent laparoscopic hepatectomy were selected as observation group and 42 patients who underwent conventional open hepatectomy were selected as control group. The operative time, incision length, hospital stay and drainage tube indwelling time were compared between the two groups. The levels of alanine aminotransferase, aspartate aminotransferase, and bilirubin in the two groups were recorded, and the total incidence of complications in the two groups was compared. Results The operation time in the observation group was significantly longer than that in the control group(P<0.05). The incision length, length of hospital stay, and drainage tube indwelling time in the observation group were significantly shorter than those in the control group(P<0.05). The levels of alanine aminotransferase, aspartate aminotransferase, and bilirubin in the observation group were significantly lower than those in the control group(P<0.05). The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion Laparoscopic hepatectomy is effective in the treatment of space-occupying lesions of left hepatic lobe. It can shorten the hospitalization time and promote the recovery of patients, and has the advantages of minimally invasive and quick recovery. At the same time, laparoscopic hepatectomy with higher safety can significantly reduce the incidence of complications in patients with space-occupying lesions of left hepatic lobe.
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