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目的探究腹腔镜与传统开腹肝切除治疗原发性肝癌的疗效和安全性。方法 54例原发性肝癌患者,根据随机数字表法分为观察组与对照组,各27例。对照组予以传统开腹肝切除治疗,观察组实施腹腔镜肝切除治疗。比较两组围术期各项指标及术后并发症发生情况。结果观察组围术期各项指标均优于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为7.41%,明显高于对照组的29.63%,差异有统计学意义(P<0.05)。结论与传统开腹肝切除术相比,对原发性肝癌实施腹腔镜肝切除效果显著,能有效优化各项手术指标,缩短治疗时间,减少并发症发生,安全性较高,值得推广。
Objective To investigate the efficacy and safety of laparoscopic and traditional open hepatectomy in the treatment of primary liver cancer. Methods Fifty-four patients with primary liver cancer were divided into observation group and control group according to the random number table method, with 27 cases in each. The control group was treated by traditional open hepatectomy and the observation group was treated by laparoscopic liver resection. All the indexes of perioperative period and the incidence of postoperative complications were compared between the two groups. Results The perioperative indexes in the observation group were better than those in the control group (P <0.05). The incidence of postoperative complications in the observation group was 7.41%, significantly higher than that in the control group (29.63%), with statistical differences Significance (P <0.05). Conclusions Compared with traditional open hepatectomy, laparoscopic hepatectomy on primary hepatocellular carcinoma has a significant effect, which can effectively optimize the operation indexes, shorten the treatment time and reduce the occurrence of complications. It is worth to be popularized.