先天性肝囊肿腹腔镜与开腹开窗术的临床疗效分析  

The clinical analysis of laparoscopic fenestration and abdominal fenestration in the treatment of congenital hepatic cyst

作　　者：郭伟昌[1] 黄君[1] 易先武[1] 陆昌友[1] 芦灵军[1] 

机构地区：[1]宜宾市第一人民医院普外科,四川宜宾644000

出　　处：《胃肠病学和肝病学杂志》2010年第4期362-363,366,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨腹腔镜治疗先天性肝囊肿与开腹开窗术的疗效。方法分析我院2006年1月-2009年8月开腹肝囊肿开窗术27例（K组）及同期腹腔镜肝囊肿开窗术31例（L组）的患者。比较两组的手术时间、术中出血量、胃肠道功能恢复、下床活动的时间、术后并发症发生率及住院日。结果L组的手术时间、术中出血量、胃肠道功能恢复、下床活动的时间及住院日与K组比较,各指标明显优于K组（P〈0.05）。而术后并发症发生率两组对比无明显差异（P〉0.05）。结论腹腔镜肝囊肿开窗术创伤小,术后病人恢复快,住院时间短,渐成为治疗先天性肝囊肿的首选方法。Objective To evaluate the efficacy of laparoscopic fenestration and abdominal fenestration in the treatment of congenital hepatic cyst.Methods Twenty-seven patients received abdominal fenestration（group K） and 31 patients received laparoscopic surgery（group L） in our hospital from Jan.2006 to Aug.2009 were reviewed retrospectively.The operation time,blood loss,postoperative complications,time of gastrointestinal function recovery,length of bed stay and hospital stay were analyzed.Results Compared with group K,operation time,blood loss,the time of gastrointestinal function recovery,length of bed stay and hospital stay were improved significantly in group L（P〈0.05）.The postoperative complications were had no significant difference in group K and group L（P〉0.05）.Conclusion Laparoscopic fenestration in treatment of congenital hepatic cyst is minimally invasive with faster recovery and shorter hospital stay.The procedure should be the first choice for congenital hepatic cyst.

关 键 词：先天性肝囊肿 腹腔镜 开窗引流术 

分 类 号：R575[医药卫生—消化系统]