关键词: 腹腔镜手术, 结直肠癌, 肝转移, 手术治疗

Abstract: 【Abstract】 Objective To investigate the short-term effect between laparoscopic hepatectomy resection and open hepatectomy for liver metastasis of colorectal cancer. Methods From January 2008 to December 2012,.94 cases with liver metastasis of colorectal cancer underwent secondary hepatectomy,including laparoscopic operation in 46 cases,.open abdominal operation in 48 cases. Among 94 cases,.35 were underwent left hemihepatectomy,.28 right hemihepatectomy,.and 31 irregular wedge resection of liver. The resection of hepatic metastatic lesions were performed in three to six months after primary colorectal cancer resection. The short-term clinical efficacies were compared between two groups. Results Compared with open abdominal operation, laparoscopic hepatectomy had less intraoperative bleeding,.shorter hospitalization time and lower levels of postoperative alanine transaminase,.aspartate transaminase,.bilirubin and leukocyte count.(P<0.05). Conclusion For patients with hepatic metastases of colorectal cancer,.secondary hepatectomy laparoscopic operation is safe and reliable, and has better short-term effect than open opertion.

Key words: Laparoscopic operation, Colorectal cancer, Liver metastases, Operative treatment