腹腔镜治疗肝囊性占位病变疗效分析  

Effectiveness of Laparoscopy in Treating Cystic Space-occupying Lesions of the Liver

作　　者：李浩[1] 

机构地区：[1]延边大学附属医院肝胆外科,吉林省延吉市133000

出　　处：《中国全科医学》2010年第35期4018-4019,共2页Chinese General Practice

摘　　要：目的探讨腹腔镜开窗术治疗肝囊性占位病变的临床疗效,为肝囊性占位病变手术治疗提供参考。方法回顾性分析2003年1月—2009年1月住院行腹腔镜手术治疗的67例肝囊性占位病变患者的临床资料。结果手术时间32～135min,平均(69.5±4.5)min。中转开腹4例,中转开腹率为4.47%。住院时间4～21d,平均(9.5±2.5)d。随访3～6个月,平均4.5个月,定期复查,1例4个月后复发,经过对症处理后好转。结论腹腔镜治疗肝囊性占位病变有操作简便、恢复快、复发少等优点,可作为肝囊性占位病变的首选治疗方法。Objective To analyze the effectiveness of laparoscopy in treating cystic space-occupying lesions of the liver.Methods We retrospectively analyzed the clinical data of 67 patients who underwent laparoscopic surgery for their hepatic cystic space-occupying lesions from January 2003 to January 2009 in our hospital.Results The surgical durations were 32-135 min（range：69.5±4.5 min）.Four patients（4.47%）underwent conversion to laparotomy.The hospital stay was 4-21 days（mean：9.5±2.5 d）.All patients were followed up for 3-6 months（mean：4.5 months）by routine re-examinations.One patient experienced relapse four months later,which was resolved after symptomatic treatment.Conclusion Laparoscopic treatment has many advantages in treating cystic space-occupying lesions of the liver and therefore can be the preferred treatment mode for this disease.

关 键 词：腹腔镜检查 囊性纤维化 治疗效果 

分 类 号：R657.3[医药卫生—外科学]