Laparoscopic and open hepatectomy for marginal liver neoplasms: analysis of short -term results

摘要

Objective: To analyze the short-term effect of laparoscopic and open hepatectomy onmarginal liver tumors. Methods: The data of 24 patients with hepatectomy who underwenthepatectomy from January, 2014 to December, 2016 were retrospectively analyzed. Results:Laparoscopic hepatectomy group of 11 cases, the operation was successful. Including 8cases of primary liver cancer, liver metastasis of intestinal cancer in 1 case, 1 case of hepatichemangioma, 1 case of liver adenoma. Partial hepatectomy (II–VI) in 8 cases, left lateral loberesection (II+III) in 2 cases, two resection (III+VI) in 1 case. 13 cases of open surgery group,including 9 cases of primary liver cancer, liver metastasis of intestinal cancer in 2 cases, 1case of hepatic hemangioma, 1 case of liver adenoma. The operative procedures were: partialhepatectomy (8 cases), left lateral lobe resection (II+III segment) in 4 cases and partial resection(IVB +VI segment) in 1 case. The operative time of laparoscopic group was significantlylonger than that of laparotomy group (127.7±31.2) min vs (103.4±26.7) min, laparoscopicgroup was significantly less than that of laparotomy group (140.6±21.4) vs (268.3±33.7)mL were significantly shorter than those in the laparotomy group (2.9±0.3) vs (3.7±0.8) tenthousand yuan in the laparotomy group, the hospitalization time was significantly shorter thanthe open group (8.52±1.06) vs (13.5±2.7) d (P0.05). Conclusion: Laparoscopic hepatectomyin the marginal segment resection (II, III, IV, V, VI) in the use of safe and effective, and lessintraoperative bleeding, rapid postoperative recovery, eating early, shorter hospital stay,hospitalization. The cost of complications was lower than that of the open group. The curativeeffect was better than that of the laparotomy group.