非接触分离技术在原发性肝细胞癌手术治疗中的应用
作者:
通讯作者:
作者单位:

作者简介:

马金良, Email: majlwq@163.com

基金项目:

安徽省2011年度科技计划资助项目(11010402163)。


Application of “no-touch” isolation technique in surgical treatment of hepatocellular carcinoma
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 音频文件
  • |
  • 视频文件
    摘要:

    目的:探讨原发性肝细胞癌应用非接触分离技术切除的临床效果效。 方法:回顾性分析2011年1月—2013年1月70例应用非接触分离技术行手术切除的原发性肝细胞癌患者(观察组),以及同期70例行传统手术方式切除的原发性肝细胞癌患者(对照组)临床资料,比较两组相关手术指标及术后发率、生存情况。 结果:与对照组比较,观察组手术时间有所延长[(238.9±44.8)min vs.(132.8±25.4)min,P<0.05]、术中出血量及输血率差异无统计学意义[(461.0±112.6)mL vs.(464.6+109.0)mL; 31.4% vs. 28.5%,均P>0.05]、肝门阻断率降低(7.14% vs. 32.9%,P<0.05);两组的并发症发生率差异无统计学意义(18.6% vs. 22.9%,P>0.05);观察组1年复发率明显低于对照组(24.3% vs. 44.3%,P<0.05),但1年生存率两组无统计学差异(88.6% vs. 81.2%,P>0.05)。 结论:非接触分离技术用于原发性肝细胞癌手术治疗对于减少术后肿瘤复发有着积极的作用,较传统手术方式有一定优势。

    Abstract:

    Objective: To assess the clinical effect of using “no-touch” isolation technique in surgical treatment of hepatocellular carcinoma (HCC). Methods: The clinical data of 70 HCC patients undergoing surgical resection with “no-touch” isolation technique (observational group) from January 2011 to January 2013, and 70 HCC patients undergoing conventional resection technique (control group) during the same period were retrospectively analyzed. The relevant surgical variables as well as the postoperative recurrence and survival between the two groups were compared. Results: In observational group compared with control group, the operative time was prolonged [(238.9± 44.8) min vs. (132.8±25.4) min, P<0.05], both intraoperative blood loss and blood transfusion rate showed no statistical difference [(461.0±112.6) mL vs. (464.6±109.0) mL; 31.4% vs. 28.5%, both P>0.05], and the hepatic portal occlusion rate was decreased (7.14% vs. 32.9%, P<0.05). No significant difference was noted in incidence of postoperative complications between the two groups (18.6% vs. 22.9%, P>0.05). The 1-year recurrence rate in observational group was significantly lower than that in control group (24.3% vs.44.3%, P<0.05), but the 1-year survival rate of the two groups had no statistical difference (88.6% vs. 81.2%, P>0.05). Conclusion: Using “no-touch” isolation technique in HCC surgical treatment may provide an active support for reducing postoperative tumor recurrence, and it has certain superiority to conventional technique.

    参考文献
    相似文献
    引证文献
引用本文

曹堃,马金良,许戈良,荚卫东,刘文斌,张传海.非接触分离技术在原发性肝细胞癌手术治疗中的应用[J].中国普通外科杂志,2016,25(1):25-31.
DOI:10.3978/j. issn.1005-6947.2016.01.005

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2015-11-08
  • 最后修改日期:2015-12-17
  • 录用日期:
  • 在线发布日期: 2016-01-15