Laparoscopic And Open Hepatectomy For The Treatment Of Left Hepatolithiasis:A Efficacy Study

Objective:To retrospectively analyze and analyze clinical data,compare and analyze the data of two different surgical methods for laparoscopic liver resection and open hepatectomy,and explore the diagnosis and treatment of intrahepatic bile duct stones to improve the understanding of the disease.Methods:The clinical data of 67 patients with intrahepatic bile duct stones who underwent surgical operation in our hospital from January 2016 to March 2018 were retrospectively analyzed.35 patients underwent laparoscopic left hepatic pedicle blockade for left hepatectomy.In the laparoscopic group,32 patients underwent conventional open left hepatectomy for the open group.The operation time,intraoperative blood loss,postoperative analgesia time,gastrointestinal recovery time,and postoperative hospitalization were compared between the two groups.Time,hospitalization costs,postoperative complications,and albumin(ALB),total bilirubin(TBIL),alanine aminotransferase(ALT),aspartate aminotransferase(AST)on day 7 postoperatively Changes.Results:The operative time of the laparoscopic group was longer than that of the open group [(269.11±54.43)min vs(211.72±31.64)min],and the postoperative pain relief time was [(2.89±1.41)d vs(4.81±1.58)d].After exhaust time [(24.80±6.31)h vs(45.13±9.80)h],postoperative hospital stay [(9.51±2.38)d vs(14.19±2.86)d] was better than open group,the difference was statistical Academic significance(P<0.05);the amount of surgical bleeding [(232.47±78.21)ml vs(189.72±54.66)ml] and the total hospitalization cost [(48351.45±3641.21)yuan vs(44241.56±2151.63)yuan] were similar in the two groups.The difference was not statistically significant(P>0.05).There were 5(14.29%)patients with complications in the laparoscopic group,2 cases(5.71%)with biliary fistula,3 cases(8.57%)with pulmonary infection,and wound infection.2 cases(5.71%).Complications occurred in 6 patients(18.75%)in the open group,2(6.25%)with biliary fistula,3(9.38%)with pulmonary infection,and 3(9.38%)with wound infection.There was no significant difference in postoperative complications between the two groups(P>0.05).There was no significant difference in liver function indexes(TBIL,ALB,ALT,ASB)between the two groups(P>0.05).Conclusion:The efficacy and safety of laparoscopic left hepatic pedicle blockade for left hepatectomy in the treatment of intrahepatic bile duct stones is positive.Compared with previous open liver resection,laparoscopic left hepatic pedicle block left hepatectomy The wound is smaller and the recovery is faster.