巨大肝囊肿手术方法的选择和临床疗效分析(附32例报告)  

Selection of operative procedures of huge hepatic cyst and their clinical effectiveness

作　　者：刘安重 卢辉俊 周斌 张必翔[2] 

机构地区：[1]江苏省扬州市扬州大学临床医学院普通外科,225001 [2]华中科技大学同济医学院附属同济医院肝脏外科中心

出　　处：《腹部外科》2006年第4期231-232,共2页Journal of Abdominal Surgery

摘　　要：目的探讨手术治疗巨大肝囊肿的手术方法选择及其临床疗效。方法回顾性分析我们于2000年-2005年手术治疗巨大肝囊肿32例的临床资料。手术方法为开窗边缘连续缝扎大网膜覆盖及肝左叶切除。对4例单发者行腹腔镜开窗引流、大网膜悬吊覆盖。结果全部病例术后恢复迅速，未发生术后胆漏、出血、膈下感染等并发症。经1年以上随访无明显复发。结论采用开窗边缘连续缝扎大网膜覆盖及肝左叶切除的手术方法治疗巨大肝囊肿临床疗效确切。对单发囊肿也可采用腹腔镜开窗引流，出血少，手术安全性高。Objective To investigate the surgical procedures for huge hepatic cyst and the clinical effectiveness. Methods The clinical data of 32 cases of huge hepatic cyst subject to surgical treatment were retrospectively analyzed from 2000 to 2005. The surgical procedures included continuous suturing of the margin of windowing, resection of the left lobe of liver. Four cases of solitary huge hepatic cyst were subjected to widowing and drainage under laparoscopy and covering with greater omentum. Results All cases recovered rapidly after operation. No postoperative bile leakage, bleeding and subphrenic infection occurred. During a follow-up of over one year, there was no obvious recurrence. Conclusion The surgical procedures of continuous suturing of the margin of windowing and resection of the left lobe of liver could effectively treat huge hepatic cyst. For solitary cyst, laparoscopic windowing could be adopted with a higher safety and less blood loss.

关 键 词：肝 囊肿 外科手术 治疗结果 

分 类 号：R459.5[医药卫生—治疗学] R735.7[医药卫生—临床医学]