Abstract:
Objective To investigate the clinical effects of programmed laparoscopic left lateral segment liver resection, traditional laparoscopic left lateral segment liver resection and open left lateral segment liver resection.
Methods From January 2014 to August 2017, 62 patients underwent left lateral segment liver resection were collected in our hospital retrospectively. They were divided into three groups, 19 cases with open left lateral segment liver resection (A group), 20 cases with traditional laparoscopic left lateral segment liver resection (B group) and 23 cases with programmed laparoscopic left lateral segment liver resection (C group). Statistical analysis was performed by using SPSS20.0, clinical data of intraoperative and postoperative recovery as well as liver functions were presented as (±s) and examined by t test; The level of liver function and complications were examined by chi square test. A P value of <0.05 was considered as significant difference.
Results The total length of incision in C group was the shortest, the amount of blood loss, the time of extubation, the recovery time of gastrointestinal function and the time of hospitalization were the least in C group (P<0.05); 1d, 3d after operation, the albumin (ALB) was the highest, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) were the lowest in C group (P<0.05). The incidence of postoperative complications were similar among the three groups (P>0.05).
Conclusion The programmed laparoscopic left lateral segment liver resection has better curative effect, less trauma, less bleeding and faster recovery than traditional laparoscopy and open operation, and does not increase postoperative complications, which is worth popularizing in clinical use.
Key words:
Hepatectomy,
Laparoscopes,
Laparotomy,
Comparative Effectiveness Research
Tong Tang, Mingzhong Liu, Lei Chen. Effect of Programmed Laparoscopic Left Lateral Segment Liver Resection[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(04): 333-335.