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

摘要： ［摘要］ 目的 本文对开腹肝切除术（OH）及腹腔镜肝切除术（LH）的短期疗效及住院费用进行对比分析，从而为手术医师在术式选择上提供参考。方法 本文收集北京大学深圳医院2012年1月1日至2018年10月30日，共98例接受LH及OH的病人资料，其中LH组38例；OH组60例，对比两组数据在手术时间、术中出血、是否行肝门阻断、术后下床时间、术后恢复进食时间、术后使用止痛药时间、术后出院时间、是否出现并发症、术后第1天肝功能变化及费用的差异，来评估OH与LH在术后短期疗效及费用上的差异。结果 相较于OH组，LH组在手术时间、术中出血、肝门阻断率、下床时间、恢复进食时间、术后出院时间等方面相对较少，有统计学意义（P<0.05）；而在术后第1天肝功能变化、术后使用止痛药时间、是否出现并发症等方面无统计学意义（P<0.05）；LH组费用均值低于OH组，但无统计学意义（P>0.05）。结论 在严格执行适应症的条件下，LH在术后短期疗效方面较OH有优势，且未增加费用负担。临床手术医师需综合考虑，选择合适的术式。

关键词: 费用, 腹腔镜肝切除术, 短期疗效, 开腹肝切除术