关键词: 费用, 腹腔镜肝切除术, 短期疗效, 开腹肝切除术

Abstract: ［Abstract］ Objective This study compares the short?term efficacy and hospitalization costs between open hepatectomy （OH） and laparoscopic hepatectomy （LH）， so as to provide a reference for surgeons in the choice of surgical methods. Methods The data of 98 patients received LH and OH in Shenzhen Hospital of Peking University from January 01， 2012 to October 30， 2018 were collected， including 38 cases in LH group and 60 cases in OH group. The data of the two groups were compared in operation time， intraoperative bleeding， hepatic hilar occlusion， postoperative time to get out of bed， postoperative time to resume eating， postoperative time to use painkillers， postoperative discharge time， whether complications occurred. The changes of liver function and the difference of cost， To evaluate the difference in short?term efficacy and cost between OH and LH. Results Compared with OH group， LH group had less operation time， intraoperative bleeding， hilar obstruction rate， getting out of bed time， resuming eating time， postoperative discharge time. There was no significant difference in the changes of liver function and the time of analgesic use （P>0.05）. The average cost of LH group was lower than OH group on the first day after operation （P<0.05）， however， there was no statistical significance （P>0.05）. Conclusion Under the condition of strict implementation of indications， LH has advantages over OH in short?term effect after operation， and does not increase the cost. Surgeons need to consider comprehensively and choose the appropriate operative method.

Key words: laparoscopic hepatectomy, short?term efficacy, open hepatectomy, cost