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首页> 外文期刊>International Journal of Hepatology >Liver Surgery for Hepatocellular Carcinoma: Laparoscopic versus Open Approach
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Liver Surgery for Hepatocellular Carcinoma: Laparoscopic versus Open Approach

机译：肝细胞癌的肝手术：腹腔镜与开放式方法

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In this study, we try to compare the benefit of laparoscopic versus open operative procedures.Patients and Methods. One hundred and sixteen patients underwent laparoscopic liver resection (LR) and another 208 patients went for open liver resection (OR) for hepatocellular carcinoma (HCC). Patients' selection for open or laparoscopic approach was not randomized.Results. The CLIP score for LR and OR was 0.59 ± 0.75 and 0.86 ± 1.04, respectively, (P=.016). The operation time was 156.3 ± 308.2 and 190.9 ± 79.2 min for LR and OR groups, respectively. The necessity for blood transfusion was found in 8 patients (6.9%) and 106 patients (50.9%) for LR and OR groups. Patients resumed full diet on the 2nd and 3rd postoperative day, and the average length of hospital stay was 6 days and 12 days for LR and OR groups. The complication rate and mortality rate were 0% and 6.0%, 2.9% and 30.2% for LR and OR groups, respectively. The 1-yr, 3-yr, and 5-yr survival rate was 87.0%, 70.4%, 62.2% and 83.2%, 76.0%, 71.8% for LR and OR group, respectively, of non-significant difference. From these results, HCC patients accepted laparoscopic or open approach were of no significant differences between their survival rates.
机译：在这项研究中，我们尝试比较腹腔镜手术与开放式手术的好处。患者和方法。 116例患者接受了腹腔镜肝切除术（LR），另外208例患者因肝细胞癌（HCC）接受了开放性肝切除术（OR）。患者选择开放或腹腔镜手术的方法不是随机的。 LR和OR的CLIP得分分别为0.59±0.75和0.86±1.04（P = .016）。 LR和OR组的手术时间分别为156.3±308.2和190.9±79.2 min。 LR和OR组的8名患者（6.9％）和106名患者（50.9％）发现了输血的必要性。术后第2天和第3天患者恢复完全饮食，LR和OR组的平均住院时间为6天和12天。 LR和OR组的并发症发生率和死亡率分别为0％和6.0％，2.9％和30.2％。 LR和OR组的1年，3年和5年生存率分别为87.0％，70.4％，62.2％和83.2％，76.0％，71.8％，无显着性差异。从这些结果来看，接受腹腔镜或开腹手术的HCC患者之间的生存率没有显着差异。

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