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目的探讨手助腹腔镜肝癌切除的微创性和安全可行性。方法40例肝癌切除患者随机分为手助腹腔镜(HALH)和开腹肝癌切除术(OH)两组,比较两组的手术时间、术中出血量、切口长度、术后肛门排气时间、术后住院时间、术后并发症及C反应蛋白的动态变化。结果HALH组平均出血量、切口长度、术后肛门排气时间、术后住院时间、术后第7天C反应蛋白均明显少于OH组(均P<0.05)。两组平均手术时间相仿,均无严重并发症发生。两组复发率差异无显著性。结论手助腹腔镜肝癌切除安全可行,具有创伤小、术后恢复快等特点。
Objective To explore the minimally invasive and safe feasibility of hand-assisted laparoscopic hepatectomy. Methods Forty cases of resected hepatocellular carcinoma (HCC) were randomly divided into two groups: hand - assisted laparoscopic (HALH) and open hepatectomy (OH). The operative time, intraoperative blood loss, incision length, postoperative anal exhaust time, Postoperative hospital stay, postoperative complications and the dynamic changes of C-reactive protein. Results The average amount of bleeding, incision length, postoperative anal exhaust time and postoperative hospital stay in HALH group were significantly lower than those in OH group on the 7th day after operation (all P <0.05). The average operation time of two groups were similar, no serious complications occurred. There was no significant difference in relapse rate between the two groups. Conclusion Hand-assisted laparoscopic resection of liver cancer is safe and feasible, with less trauma and rapid postoperative recovery.