Comparison of the clinical effect of laparoscopic partial hepatectomy and open surgery in treatment of hepatic hemangioma
10.3760/cma.j.issn.1008-6706.2013.12.035
- VernacularTitle:腹腔镜手术与开放手术治疗肝血管瘤疗效比较
- Author:
Dong WANG
- Publication Type:Journal Article
- Keywords:
Hepatic hemangioma;
Laparoscopy;
Hepatectomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(12):1839-1841
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of laparoscopic partial hepatectomy and open surgery in the treatment of hepatic hemangioma.Methods The clinical data of 45 cases of laparoscopic partial hepatectomy and 15cases of open surgery were retrospectively analyzed.The incision length,operative time,blood loss,start eating timeafter operation,postoperative drainage volume,postoperative hospital stay and incidence rate of complications werecompared between the two groups.Results The incision length,blood loss,start eating time after operation,postoperative drainage volume,postoperative hospital stay of laparoscopic partial hepatectomy group were [(4.5 ± 1.1) cm,(100.3 ± 33.7) ml,(1.5 ± 0.4) d,(112.2 ± 32.7) ml,(6.7 ± 1.5) d],which were better than those in the opensurgery group[(25.1 ±5.4)cm,(201.5 ±23.8)ml,(3.5 ±0.6)d,(230.3 ±43.7)ml,(11.3 ± 3.7)d],the differences were statistically significant between the two groups (t =1.977,2.023,1.989,2.015,2.025,P ＜ 0.05).The operation time of the open surgery group was (159.4 ± 20.5) min),that in laparoscopic partial hepatectomy group was (139.0 ± 21.7) min,the difference was not statistically significant (t =1.453,P ＞ 0.05).The incidence rate of complications in laparoscopic partial hepatectomy group was significantly lower than the open surgery group(x2 =3.013,P ＜ 0.05).Conclusion Compared with open surgery,laparoscopic partial hepatectomy has the advantages of less blood loss,faster recovery,and fewer complications in the treatment of hepatic hemangioma.
