多发性肝囊肿腹腔镜开窗引流术的疗效分析  

Laparoscopic fenestration in the treatment of 39 cases of hepatic multiple cysts

作　　者：黄辉[1] 金俊红[1] 吴松[1] 周保富[1] 

机构地区：[1]安徽医科大学附属六安医院,六安市237005

出　　处：《微创医学》2011年第1期29-31,共3页Journal of Minimally Invasive Medicine

摘　　要：目的探讨腹腔镜在多发性肝囊肿治疗中的应用价值。方法回顾分析2004年11月至2009年11月腹腔镜治疗多发性肝囊肿39例临床资料,均行腹腔镜开窗引流术,观察手术时间、术中出血量和并发症发生情况。结果全组手术均获成功,处理囊肿数2~15个,平均4个;手术时间20~55 min,平均37 min;术中出血量5~60 mL,平均22 mL。所有病例均经腹壁侧孔放置乳胶管外引流,住院时间3~7 d,平均4.3 d。全组术后无出血、胆漏及肝功能衰竭等并发症发生,均痊愈出院。随访6个月~6年,复发13例,按疗效指数分类,无0级复发,Ⅰ级为10例,Ⅱ级为3例。结论腹腔镜在多发性肝囊肿的治疗中具有创伤小、痛苦轻、费用少、恢复快等优点。Objective To investigate the value of laparoscopy in the treatment of hepatic multiple cysts.Methods Data of 39 cases of hepatic multiple cysts who received laparoscopic fenestration in our hospital from November 2004 to November 2009 were collected and analyzed to observe the operative time,intraoperative blood loss and the occurrence of complications,including 11 male cases and 28 female cases,with the mean year of 61 years（41-72 years）.Results The operations were successful in all the 39 cases,which the mean of cysts was 4（2-15） being dealt with.The mean operative time was 37min（20-55 min）.The mean blood loss was 22ml（5-60 ml）.Outward draining tubes were placed via the abdominal cavities,and the mean duration of hospitalization was 4.3d（3-7 d）.None of postoperative hemorrhage,bile leakage,liver functions failure and other complications occurred.All the 39 patients were wholly healed up and discharged.After 6 months to 6 years follow-up,of the 39 cases,13 recurrent cases were found,which the cysts reduced by less than 1/3 in 10 cases,by 1/3-2/3 in 3 cases.Conclusion Laparoscopic fenestration in the treatment of hepatic multiple cysts is of minimal injury,less pain,little expense and rapid recovery.

关 键 词：腹腔镜 多发性肝囊肿 开窗术 

分 类 号：R657.3[医药卫生—外科学]