腹腔镜手术治疗先天性肝囊肿  

Laparoscopic surgery in treatment of congenital hepatic cyst

作　　者：李富贵[1] 邹波[1] 

机构地区：[1]自贡市第一人民医院肝胆外科,四川自贡643000

出　　处：《现代医药卫生》2010年第3期333-335,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨腹腔镜手术治疗先天性肝囊肿的方法和疗效。方法:回顾分析2000年3月～2009年3月的82例先天性肝囊肿病人进行腹腔镜去顶引流术治疗的方法和疗效,其中男16例,女66例,年龄19～81岁,平均46岁。均行腹腔镜肝囊肿去顶引流术,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30～120min,平均46min,术中出血20～100ml,平均46ml,无中转开腹病例。随访6个月～9年,术后5例(6%)肝囊肿复发。结论:腹腔镜肝囊肿去顶引流术具有创伤小、恢复快、住院时间短、疗效可靠、并发症少等优点,是治疗先天性肝囊肿的首选方法。Objective：To investigate the method and effect of the laparoscopic surgery in the treatment of congenital hepatic cyst. Methods：From March 2000 to March 2009,82 eases（16 males,66 females,aged 19-81 years,mean age 46 years） with congenital hepatic cyst received laparoscopic fenestration drainage were analyzed retrospectively, the operation duration, bleeding volume and complications were observed. Results：All procedures were successfully accomplished.The operation duration was 30-120 rain,mean time 46 min, the amount of bleeding volume was 20-100 ml, mean 46 ml. There was no conversion to open abdominal operation.There was 5 cases recurrence in 6 months to 9 years follow-up.Conclusion：Laparoscopic fenestration drainage is a safe ,reliable surgical approach in hepatic cyst patients with minimal injury and rapid healing, and should be the preferable choice for the patients with congenital hepatic cyst.

关 键 词：腹腔镜 肝囊肿 去顶引流术 

分 类 号：R6[医药卫生—外科学]