JOURNAL OF PRACTICAL HEPATOLOGY ›› 2016, Vol. 19 ›› Issue (6): 709-712.doi: 10.3969/j.issn.1672-5069.2016.06.017
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Fu Kaihuo,Zhang Jianquan,Jiang Ming.
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Abstract: Objective To investigate the clinical effect of laparoscopic tumor resection in treatment of patients with hemangioma of liver at I and ⅣaⅦ and Ⅷ section. Methods 74 patients with hemangioma of liver at I and Ⅳa,Ⅶ and Ⅷ section were admitted to our hospital between January 2012 and January 2013. They were randomly divided into two groups,and 37 patients were treated with routine open surgery (ROS),while another 37 patients were treated by laparoscopic tumor resection(LTR). Postoperative pain scores,clinical indicators and postoperative complications in the two groups were observed. Results The recovery of gastrointestinal function,feeding,hospitalization and indwelling catheter in patients receiving LTR were (2.6±0.8) d,(2.9±0.8) d,(13.2±1.3) d,(2.9±0.9) d,much shorter than in patients receiving ROS【(4.28±1.12) d,(4.81±0.75) d,(17.4±2.48) d,(4.5±1.51) d,respectively,P<0.05】;the blood loss during operation in LTR were(110.2±32.4) ml,much lower than in ROS 【(155.6±40.3) ml,P<0.05】;the medical cost in LTR were(8437.0±206.7) yuan,much higher than in ROS【(6399±110.4) yuan,P<0.05】;the postoperative complication rate in LTR was 2.7%,much higher than 16.2% in ROS (x2=5.045,P=0.028);the recurrence rate of tumor in LTR at the end of 36-month followed-up was 8.1%,which was not significantly different with 2.7% in ROS(x2=1.057,P=0.307);postoperative pain scores in the two groups reached peak after 12 h,and the postoperative pain score in LTR was significantly lower than that in ROS(P<0.05). Conclusion Laparoscopic surgery in treatment of patients with hemangioma of liver at special sections has some virtues such as less trauma,less bleeding,fast recovery and less costs.
Key words: Hepatic hemangioma, Total laparoscopic resection, Open surgery, Postoperative complications
Fu Kaihuo,Zhang Jianquan,Jiang Ming.. Laparoscopic tumor resection in treatment of patients with intrahepatic hemangioma at special sites[J]. JOURNAL OF PRACTICAL HEPATOLOGY, 2016, 19(6): 709-712.
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URL: http://manu43.magtech.com.cn/Jwk_sygzb/EN/10.3969/j.issn.1672-5069.2016.06.017
http://manu43.magtech.com.cn/Jwk_sygzb/EN/Y2016/V19/I6/709