严重多囊肝腹腔镜治疗的可行性探讨  

Feasibility of laparoscopical therapy for severe polycystic liver disease

作　　者：武金虎[1] 苗山[1] 侯利华[1] 贾元利[1] 

机构地区：[1]武警总医院普通外科,北京100039

出　　处：《武警医学》2011年第7期596-597,601,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨采用腹腔镜肝囊肿开窗引流术治疗严重多囊肝的效果及可行性。方法回顾性分析2008-07至2010-07我院收治的5例严重成人多囊肝患者的术前症状、手术方法、术后并发症及手术效果。结果 5例均顺利实施腹腔镜手术,手术时间分别为98、87、103、77、90 min,5例术后均出现胸水、腹水,予以非于术治疗后积液消失,随访3～12个月,4例肝功能基本正常,症状较术前缓解。结论对于严重成人多囊肝患者,无法行手术切除或肝移植的情况下,腹腔镜肝囊肿开窗引流术可以在一定程度上缓解症状,延缓肝功能损害,具有一定的临床实用价值。Objective To study the feasibdity and outcome of laparoscopical therapy for severe pnlycystic liver disease（SPLD）. Methods From July 2008 to Jaly 2010,five patients with severe polyeystie liver disease received laparoscopical fenestration drainage and were analyzed retrospectively. The preoperative symptoms, operation procedutes, dutation of the operation, eomplieations and the elinieal outcome were observed. Results All procedures were successfully accomplished. The operation duration was 98,87,103,77 and 90 rain respectively. Pleural effusion and aseites occurred in all the five patients hut disappeared after conservative treatment. The symptoms disappeared in 4 patients and the liver function became normal in 3 month - to 12 month - follow - up. Conclusions The laparoseopieal therapy is of some clinical value, for it effectively relieves symptoms and delays the damage to liver functions in patients with SPLD.

关 键 词：腹腔镜 严重多囊肝 开窗引流术 

分 类 号：R657.3[医药卫生—外科学]