肝叶切除治疗成人多囊肝病体会：附24例报告  

Treatment of polycystic liver disease with Iobectomy in adults： a report of 24 cases

作　　者：尹新民[1] 吴金术[1] 彭创[1] 吕品[1] 王方明[1] 

机构地区：[1]湖南省人民医院肝胆外科,长沙市410005

出　　处：《中华肝胆外科杂志》2007年第9期604-605,共2页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨成人多囊肝病的手术切除技术及效果。方法对近16年湖南省人民医院肝胆外科行肝叶切除治疗的多囊肝病24例进行回顾性分析。结果全组无胆漏、肝功能衰竭及死亡病例，仅1例发生膈下脓肿（4．2％），经穿刺引流治愈，19例经1～10年随访，残肝囊肿复发率低（10．5％）。结论肝叶切除是治疗多囊肝病的有效方法，掌握手术指征及正确处理肝断面是预防肝叶切除并发症发生及减少囊肿复发的关键。Objective To investigate the technique and efficacy of resection for adult polycystic liver disease （APLD）. Methods The clinical data of 24 patients with APLD treated with lobectomy from 1990 to 2006 in our hospital were retrospectively analyzed. Results The symptoms disappeared in all the 24 patients after operation. No bile leakage, liver failure and mortality occurred. Subphrenic infection was found only in 1 patient （4.2%） and cured by percutaneous abdominal drainage. The follow-up in 19 patients for 1-10 years showed that the APLD recurring rate was low （10. 50%）. Conclusion Lobectomy is an effective measure for treatment of APLD. To master the operative indications and correctly handle the cutting surface for lobectomy is important for reducing postoperative complications and cyst recurrence.

关 键 词：肝疾病 肝叶切除 医用创面胶 

分 类 号：R686[医药卫生—骨科学]