经腹腔镜治疗肝囊肿临床探讨  

Laparoscopic treatment of liver cysts

作　　者：左国华[1] 梁平[1] 李洪艳[1] 李靖[1] 丁生财[1] 刘锡能[1] 王细文[1] 黄小兵[1] 

机构地区：[1]第三军医大学第二附属医院肝胆外科,重庆400037

出　　处：《临床外科杂志》2004年第12期738-739,共2页Journal of Clinical Surgery

摘　　要：目的　探讨经腹腔镜手术治疗肝囊肿的临床价值。方法　对 3 4例不同部位及不同囊肿个数的肝囊肿进行腹腔镜手术治疗。结果　 3 4例病人中有 3 2例手术成功 ,4例行囊肿切除 ,2 8例行囊肿开窗引流术 ,2例中转开腹 ,手术时间 2 0～ 90min ,平均约 40min ,全部病人痊愈出院 ,2例多囊肝术后复发。结论　腹腔镜治疗肝囊肿是安全可行的 ,同时具有创伤小。Objective To evaluate the management of liver cysts by the laparoscopic approach.Methods Patients with liver cysts diagnosd by CT-scan or ultrasound were managed surgically by the laparoscopic approach.Results Thirty-four patients with liver cysts were operated.Thirty-two were operated successfully.Four Patients underwent laparoscopic cyst excision and twenty-eight underwent laparoscopic cyst unroofing.In two cases the procedure was converted to laparatomy because of the demonstration of a cystobiliary fistula.Two patients with polycystic liver had recurrenct after laparoscopic unroofing.There was no other recurrence in a follow up period of 6 months to 9 years.Conclusion The laparoscopic approach has operational safety and minimally invasion in management of liver cysts.

关 键 词：肝囊肿 腹腔镜 

分 类 号：R657.3[医药卫生—外科学]