To evaluate the efficacy and safety of laparoscopic right hepatic posterior lobectomy and open right posterior hepatectomy.

A retrospective analysis of 60 patients with partial hepatectomy from August 2016 to August 2018 was performed and divided into two groups: laparoscopic right hepatic posterior lobectomy group (laparoscopic group, 30 cases), open right posterior liver Leaf resection group (open group, 30 cases); SPSS21.0 software was used for analysis. All indexes and postoperative liver function indexes were expressed by (±s), compared with independent t test; The rate of postoperative complications is compared with χ². The test level was α=0.05.

The ALB level of patients in the laparoscopic group was higher than that in the open group (P<0.05). The levels of TBIL, AST and ALT were lower than those in the open group (P<0.05), but there was no significant difference in the ALB and TBIL between the two groups before operation. There was no significant difference in AST and ALT levels (P>0.05). The postoperative complication rate was 13.3% (4/30) in the laparoscopic group, which was significant lower than 26.7% (8/30) in the open group. P<0.05; the intraoperative blood transfusion rate was 30.0% (9/30), which was significantly lower than 60.0% (18/30) in the open group, and the total hospitalization cost was significantly higher than the open group (P<0.05), but there were no significant differences in the operation time, intraoperative blood loss, and postoperative hospital stay between the two group (P>0.05).

The efficacy and safety of laparoscopic right posterior hepatectomy is higher than those of open right posterior hepatectomy.