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1原发性肝癌发病相关因素研究进展显示文摘原发性肝癌(Hepatocellular carcinoma(HCC))是我国最常见的恶性肿瘤之一。在世界范围内,HCC是男性第五常见的肿瘤,女性第七常见的肿瘤~[1],是第二常见的癌症死亡原因~[15]。该病起病隐匿,病程短,预后差,不仅严重的影响了公众的健康,也给我国的社会经济的发展带来了严重的负担。HCC的病因是目前研究的热点,流行病学研究认为,该病是多因素协同作用的结果。张春晨 董勤 2015世界最新医学信息文摘2015,0,75:19
2Benefit of laparoscopic liver resection in high body mass index patients显示文摘AIM: To explore the impact of body mass index(BMI) on surgical outcomes in patients undergoing laparoscopic liver resection(LLR).METHODS: From January 2010 to February 2015, sixty-eight patients who underwent primary partial liver resection in our institute were retrospectively reviewed. Surgical outcomes of LLR were compared with those of open liver resection(OLR). In addition, we analyzed associations with BMI and surgical outcomes.RESULTS: Among 68 patients, thirty-nine patients underwent LLR and 29 were performed OLR. Significant difference in operation time, blood loss, and postoperative hospital stay was observed. There were no signi ficant di fferences in mortali ty and morbidity in two groups. Twenty-two patients(32.4%) were classified as obese(BMI ≥ 25). A statistically significant correlation was observed between BMI and operation time, between BMI and blood loss in OLR, but not in LLR. The operation time and blood loss of OLR were significantly higher than that of LLR in obese patients. Open liver resection and BMI were independent predictors for prolonged operation time and increased blood loss in multivariate analysis.CONCLUSION: The present study demonstrated that BMI had influenced to surgical outcomes of OLR. LLR was less influenced by BMI and had great benefit in obese patients.Hiroki Uchida Yukio Iwashita Kunihiro Saga Hiroomi Takayama Kiminori Watanabe Yuichi Endo Kazuhiro Yada Masayuki Ohta Masafumi Inomata 2016World Journal of Gastroenterology2016,22,10:4
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