摘要
目的探讨复杂性腹腔镜肝癌切除术进行多维度术前、术中评估的价值。方法选取2020年1月至2022年1月于高州市人民医院住院治疗的复杂性腹腔镜肝癌切除术患者60例,按照入院的先后顺序进行分组,奇数组为对照组,偶数组为观察组,各30例。对照组采用传统术前、术中评估行腹腔镜肝癌切除手术,观察组采用基于多维度术前、术中评估行腹腔镜肝癌切除手术。比较两组患者手术情况、术后7d肝功能情况及并发症发生情况。结果患者术中输血量、术中失血量显著少于对照组,且手术时间、住院时间均短于对照组,观察组患者术后7d谷丙转氨酶、总胆红素、谷草转氨酶水平均低于对照组,白蛋白水平高于对照组,差异均有显著性(P<0.05)。对照组、观察组患者术后7d并发症发生率分别为20.00%、3.33%,术后并发症发生率显著低于对照组(P<0.05)。结论对复杂性腹腔镜肝癌切除术患者进行多维度术前、术中评估,整体效果较好,有利于患者恢复。
Objective To explore the value of multidimensional preoperative and intraoperative evaluation in complex laparoscopic liver cancer resection.Method Sixty patients who underwent complex laparoscopic liver cancer resection and were hospitalized at the People's Hospital of Gaozhou City from January 2020 to January 2022 were selected.They were divided into groups in the order of admission,with an odd numbered group as the control group and an even numbered group as the observation group,with 30 cases in each group.The control group underwent laparoscopic liver cancer resection surgery using traditional preoperative and intraoperative evaluations,while the observation group underwent laparoscopic liver cancer resection surgery based on multidimensional preoperative and intraoperative evaluations.Compare the surgical conditions,postoperative 7d liver function,and incidence of complications between two groups of patients.Result The intraoperative blood transfusion volume and blood loss of the patients were significantly lower than those of the control group,and the surgery time and hospitalization time were shorter than those of the control group.The postoperative 7d levels of alanine aminotransferase,total bilirubin,and aspartate aminotransferase in the observation group were lower than those of the control group,and the albumin level was higher than that of the control group,with significant differences(P<0.05).The postoperative 7d complications in the control group and observation group were 20.00%and 3.33%,respectively,and the incidence of postoperative complications was significantly lower than that in the control group(P<0.05).Conclusion Multidimensional preoperative and intraoperative evaluations are performed on patients undergoing complex laparoscopic liver cancer resection,and the overall effect is good,which is beneficial for patient recovery.
作者
何龙光
陈钦寿
莫怡超
黎福良
阮梓康
He Longguang;Chen Qinshou;Mo Yichao;Li Fuliang;Ruan Zikang(General Surgery Department of Gaozhou People's Hospital,Guangdong Gaozhou 525200,China)
出处
《临床普外科电子杂志》
2024年第1期32-35,40,共5页
Journal of General Surgery for Clinicians(Electronic Version)
基金
广东省医学科研基金立项项目(B2021156)。
关键词
腹腔镜肝癌切除术
多维度
评估
Laparoscopic resection of liver cancer
Multidimensional
Assess
作者简介
通信作者:何龙光,E-mail:longhong509379@163.com。
