腹腔镜与开腹二期肝切除治疗结直肠癌肝转移的短期疗效比较.pdf

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1、岭南现代临床外科2013年12月第13卷第6期LingnanModernClinicsinSurgery，Dec．2013，Vo1．13No．6腹腔镜与开腹二期肝切除治疗结直肠癌肝转移的短期疗效比较龙孝斌郭仪刘晓飞罗吉辉刘光军邓治洲【摘要】目的探讨腹腔镜肝切除与开腹肝切除对结直肠癌肝转移的短期疗效。方法自2008年1月至2012年12月，对94例结直肠癌肝转移患者行二期肝切除．其中腹腔镜手术46例，开腹手术48例，收集并比较两组患者的短期疗效资料。所有患者中，左半肝切除35例，右半肝切除28例，不规则楔形切除术31例：原发结直肠癌切

2、除后3-6个月再次采取手术进行肝内病灶切除。结果腹腔镜肝切除的结直肠癌肝转移患者术中出血量较开腹组明显减少(P<0．05)，住院时间显著缩短(P

3、9—976X．2013．06．010Comparisonofshort-termcurativeefectbetweeniaparoscopicandopensecondaryhepatectomyinthetreatmentofHvermetastasisofcolorectalcancerLongXiaobin，GuoYi，LiuXiaofei，LuofihuiLiuHuiDengZhizhou．DepartmentofOncosurgery，TheFirstPeople'sHospitalofChenzhou，Huna~423

4、000，China．Correspondingauthor：LongXiaobin，E-mail：24174074@qq．con【Abstract】ObjectiveToinvestigatetheshort—termefectbetweenlaparoscopiehepatectomyresectionandopenhepatectomyforlivermetastasisofcoloreetalcancer．MethodsFromJanuary2008toDecember2012，94caseswithlivermetastas

5、isofcolorectalcancerunderwentsecondaryhepatectomy，includinglaparoseopicoperationin46cases，openabdominaloperationin48cases．Among94cases，35wereunderwentlefthemihepatectomy，28righthemihepatectomy，and31irregularwedgeresectionofliver．Theresectionofhepaticmetastaticlesionswe

6、reperformedinthreetosixmonthsafterprimarycolorectalcancerresection．Theshort—termclinicaleficacieswerecomparedbetweentwogroups．ResultsComparedwithopenabdominaloperation，laparoseopichepatectomyhadlessintraoperativebleeding，shorterhospitalizationtimeandlowerlevelsofpostop

7、erativealaninetransaminase，aspartatetransaminase，bilirubinandleukocytecount(P<0．05)．ConclusionForpatientstIlhep~icmetastasesofcolorectalcancer．secondaryhepatectomylaparoscopicoperationissafeandreliable，andhasbettershort-termefectthanopenopertion．【Keywords】Laparoscopico

8、peration；Colorectalcancer；Livermetastases；Operativetreatment结直肠癌是最常见的消化系统恶性肿瘤，我国使在初诊未发现肝转移的患者中，术后5年内仍发病率约为206／100000，