腹腔镜肝囊肿开窗引流术的临床体会  

Clinical study on laparoscopic fenestration drainage in hepatic cysts

作　　者：吴瑜[1] 秦鸣放[1] 孙向宇[1] 王庆[1] 黄涛[1] 

机构地区：[1]天津市微创外科中心天津市南开医院微创外科,天津300100

出　　处：《生物医学工程与临床》2009年第4期339-341,共3页Biomedical Engineering and Clinical Medicine

摘　　要：目的探讨腹腔镜肝囊肿开窗引流术方法和效果。方法回顾分析2000年5月～2008年5月对52例肝囊肿病人进行腹腔镜开窗引流术的方法和效果,其中男性40例,女性12例,年龄21～73岁,平均年龄54.5岁。均行腹腔镜肝囊肿开窗引流术,观察手术时间、术中出血量和并发症发生情况。结果全部手术均获成功,手术时间30～115min,平均51min,术中出血15～100ml,平均44ml。无中转开腹病例。术后48～72h拔掉引流管。术后短期囊肿复发合并感染3例,于CT定位下穿刺引流后痊愈。随访病人46例,失访6例,随访期间无复发病例,随访时间6～12个月。结论腹腔镜肝囊肿开窗引流术具有创伤小、疗效可靠、并发症少的优点。Objective To explore the technique and effect of laparoscopic fenestration drainage on hepatic cysts. Methods A total of 52 cases of hepatic cysts（male 40, female 12, aged 21 - 73 years, mean age 54.5 years） were performed laparoscopic fenestration drainage from May 2000 to May 2008. The technique and effect were analyzed retrospectively, the operation duration, bleeding volume and complications were observed. Results All procedures were successfully accomplished. The operation duration was 30 - 115 minutes, mean time 51 minutes, the amount of bleeding volume was 15 - 100 ml, mean 44 ml. There was no conversion to open abdominal operation. The draining tube was pulled out after 48 - 72 hours. Three cases of hepatic cysts recurred and complicated with infection postoperatively in short-time,were cured with puncturing cyst drainage guided by CT. Among 52 patients, 6 cases were failed to follow up, and 46 were followed up 6 - 12 months, no recurrence was found. Conclusion It is demonstrated that laparoscopic fenestration drainage is a safe, reliable surgical approach in hepatic cyst patients with minimal invasive and rapid healing.

关 键 词：腹腔镜 肝囊肿 开窗引流术 

分 类 号：R657.3[医药卫生—外科学]