90°左侧卧位腹直肌旁视孔腹腔镜下肝右后叶切除术的临床研究
发布时间：2021-06-03 20:40
目的:通过对患者围手术期疗效及术后生活质量的评估,探讨90°左侧卧位腹直肌旁视孔腹腔镜下非解剖性肝右后叶切除术的安全性、可行性,为肝右后叶肿瘤的手术治疗方式提供参考。方法:回顾性分析2013年1月至2017年12月在右江民族医学院附属医院确诊为肝右后叶肿瘤并行非解剖性肝右后叶切除术的60例患者的临床资料,其中30例行90°左侧卧位腹直肌旁视孔腹腔镜下非解剖性肝右后叶切除术（腹腔镜组）,30例行开腹非解剖性肝右后叶切除术（开腹组）。对比分析以下资料:（1）术前资料:年龄、性别、是否合并肝炎、肝功能Child-Pugh分级、肿瘤部位、肿瘤直径、总胆红素（total bilirubin,TBIL）、谷丙转氨酶（alanine transaminase,ALT）、谷草转氨酶（aspartate aminotransferase,AST）、白蛋白（albumin,ALB）、凝血酶原时间（prothrombin time,PT）、白细胞计数（white blood cell,WBC）、中性粒细胞计数（neutrophil,N）、血清C-反应蛋白（C-reactive protein,CRP）、美国...
【文章来源】：右江民族医学院广西壮族自治区
【文章页数】：75 页
【学位级别】：硕士
【部分图文】：
腹腔镜光学影像系统
图 1-1 腹腔镜光学影像系统 图 1-2 高频电外科系统Fig 1-1 Laparoscope operating system Fig 1-2 High-frequency electrosurgerysystem
图 1-3 腹腔镜用超声刀 图 1-4 术前 CT 示肝 VI 段占位性病变Fig 1-3 Ultracision harmonic scalpel Fig 1-4 Preoperative CT shows livertumors located in S6
【参考文献】：
期刊论文
[1]Efficacy of postoperative adjuvant transcatheter arterial chemoembolization in hepatocellular carcinoma patients with microvascular invasion[J]. Jia-Zhou Ye,Jun-Ze Chen,Zi-Hui Li,Tao Bai,Jie Chen,Shao-Liang Zhu,Le-Qun Li,Fei-Xiang Wu. World Journal of Gastroenterology. 2017(41)
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[10]Role of radiotherapy in the management of hepatocellular carcinoma:A systematic review[J]. Maria-Aggeliki Kalogeridi,Anna Zygogianni,George Kyrgias,John Kouvaris,Sofia Chatziioannou,Nikolaos Kelekis,Vassilis Kouloulias. World Journal of Hepatology. 2015(01)
本文编号：3211217
【文章来源】：右江民族医学院广西壮族自治区
【文章页数】：75 页
【学位级别】：硕士
【部分图文】：
腹腔镜光学影像系统
图 1-1 腹腔镜光学影像系统 图 1-2 高频电外科系统Fig 1-1 Laparoscope operating system Fig 1-2 High-frequency electrosurgerysystem
图 1-3 腹腔镜用超声刀 图 1-4 术前 CT 示肝 VI 段占位性病变Fig 1-3 Ultracision harmonic scalpel Fig 1-4 Preoperative CT shows livertumors located in S6
【参考文献】：
期刊论文
[1]Efficacy of postoperative adjuvant transcatheter arterial chemoembolization in hepatocellular carcinoma patients with microvascular invasion[J]. Jia-Zhou Ye,Jun-Ze Chen,Zi-Hui Li,Tao Bai,Jie Chen,Shao-Liang Zhu,Le-Qun Li,Fei-Xiang Wu. World Journal of Gastroenterology. 2017(41)
[2]Value of quality of life analysis in liver cancer: A clinician’s perspective[J]. Leung Li,Winnie Yeo. World Journal of Hepatology. 2017(20)
[3]Cautiously using natural medicine to treat liver problems[J]. Fei Xiong,Yong-Song Guan. World Journal of Gastroenterology. 2017(19)
[4]Is laparoscopic hepatectomy superior to open hepatectomy for hepatocellular carcinoma?[J]. Jian-Hong Zhong,Ning-Fu Peng,Jian-Hong Gu,Ming-Hua Zheng,Le-Qun Li. World Journal of Hepatology. 2017(04)
[5]Laparoscopic resection vs laparoscopic radiofrequency ablation for the treatment of small hepatocellular carcinomas: A single-center analysis[J]. Marco Casaccia,Gregorio Santori,Giuliano Bottino,Pietro Diviacco,Enzo Andorno. World Journal of Gastroenterology. 2017(04)
[6]Application of stapling devices in liver surgery: Current status and future prospects[J]. Dian-Bo Yao,Shuo-Dong Wu. World Journal of Gastroenterology. 2016(31)
[7]2016年欧洲肝病学会临床实践指南:肝脏良性肿瘤的管理[J]. 黄成,孙惠川. 临床肝胆病杂志. 2016(08)
[8]右侧入路腹腔镜Ⅶ段肝肿瘤切除30例[J]. 毛根军,杨斌,钱贤忠,吴晓康,吴荣进,喻凯,张家敏,郑樟栋. 中华肝胆外科杂志. 2016 (02)
[9]改良腹腔镜肝右后叶血管瘤切除35例报告[J]. 靳斌,周兵海,杜刚,刘炎锋,唐振宇,黄国振,韩立涛,刘泽阳,李佳,张士哲,付志浩,胡三元. 中华肝胆外科杂志. 2015 (11)
[10]Role of radiotherapy in the management of hepatocellular carcinoma:A systematic review[J]. Maria-Aggeliki Kalogeridi,Anna Zygogianni,George Kyrgias,John Kouvaris,Sofia Chatziioannou,Nikolaos Kelekis,Vassilis Kouloulias. World Journal of Hepatology. 2015(01)
本文编号：3211217
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