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| Effect of extreme hepatectomy on quality of life, psychological status and social function of patients with hepatocellular carcinoma |
| WANG Yanling LI Ling LI Wen FU Qiurong WANG Danxin |
| Department of Oncology, the First Affiliated Hospital of Hainan Medical College, Hainan Province, Haikou 570102, China |
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Abstract Objective To study the effect of extreme hepatectomy on quality of life in patients with liver cancer. Methods A total of 100 patients with liver cancer who underwent hepatectomy in the First Affiliated Hospital of Hainan Medical College in Hainan Province from January 2015 to January 2018 were selected as study objects, according to the random number table method, they were divided into group A and group B, with 50 cases in each group. Group A was given extreme liver resection, group B was given subtotal hepatectomy. Postoperative quality of life and influencing factors were compared between the two groups. Results There was no statistically significant difference in the incidence of complications between the two groups (P ＞ 0.05). The length of hospitalization in group A was longer than that in group B, and the hospitalization cost was higher than that in group B, the difference was statistically significant (P ＜ 0.05). The number of recurrence cases, number of death cases, body mass index, fitness score, Hamilton anxiety scale score, Hamilton depression scale score, Wechsler test, adaptability test and SF-36 test in group A were all higher than those in group B, with statistically significant differences (all P ＜ 0.05). Conclusion Extreme hepatectomy can optimize the quality of life of patients by reducing the recurrence rate and improving the rehabilitation effect of patients, but the high cost of surgery can become one of the factors affecting the quality of life of patients.
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