Effects of Laparoscopic Anatomic Hepatectomy on Perioperative Indica-tors and Liver Function in Patients with Hepatocellular Carcinoma
Objective To analyze the effect of laparoscopic anatomic hepatectomy in the treatment with hepatocellular carcinoma.Methods Ninety-six cases of liver cancer patients admitted to Zibo Central Hospital from May 2021 to Oc-tober 2022 were selected as the research objects,which were divided into control group and observation group accord-ing to the lottery method,with 48 cases each.The control group underwent laparoscopic non-anatomical liver resec-tion,and the observation group underwent laparoscopic anatomical liver resection.The surgical indicators,postopera-tive recovery,liver function indicators and complications of the two groups were compared.Results The intraoperative bleeding volume in the observation group was(126.45±31.45)mL,which was lower than(221.45±32.41)mL in the control group,the anal exhaust time was(2.26±1.22)h,the drain retention time was(3.45±1.22)d,the postoperative recovery time of gastrointestinal function was(3.44±1.01)d,and the hospitalization time was(9.25±3.15)d,which were shorter than those of the control group,and the differences were statistically significant(t=14.574,8.871,9.828,4.232,6.460,all P<0.05).Before surgery,there was no statistically significant between the two groups of liver function indexes(P>0.05),after surgery,the levels of alanine aminotransferase,aspartate transaminotransferase,total bilirubin,and direct bilirubin in the observation group were all lower than those of the control group,and the differences were statistically significant(all P<0.05).The complication rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery is beneficial to pa-tients'postoperative recovery,has an improved effect on liver function,and the effect of preventing complications is obvious,which has value for promotion.
万方数据
维普
