经胃内镜肝囊肿开窗术治疗肝囊肿1例  

Transgastric endoscopic fenestration of a hepatic cyst: a report of one case

作　　者：陈世耀[1,2] 曾晓清[1] 马丽黎[2] 高虹[1] 王剑[1] 周平红[2] 徐美东[2] 王萍[2] 王红美[2] 姚礼庆[2] 

机构地区：[1]复旦大学附属中山医院消化科,上海市200032 [2]复旦大学附属中山医院内镜诊疗研究所,上海市200032

出　　处：《世界华人消化杂志》2011年第20期2190-2193,共4页World Chinese Journal of Digestology

摘　　要：本例患者肝囊肿位于肝左叶,我们采用经胃镜胃壁切开、腹腔内超声内镜明确诊断和解剖关系、肝囊肿开窗引流、缝合胃壁切口,最终获得预期效果.应用自然腔道内镜下手术(NOTES)处理肝囊肿,为肝囊肿处理提供了新的可供选择的手段,为NOTES处理诸多争议积累了一份证据.We present a case of transgastric endoscopic fenestration of a symptomatic simple hepatic cyst in the left lobe. After per-oral intubation, the anterior wall of the stomach was punctured with a needle. After the anatomic location was defined by intraperitoneal endoscopic ultrasound, fenestration was performed by gastric endoscopy. The procedure was successfully performed without any difficulties. The patient had an uncomplicated postoperative course. This method is technically feasible and represents a potential new approach to the treatment of simple hepatic cysts.

关 键 词：肝囊肿 开窗术 经胃内镜 

分 类 号：R657.3[医药卫生—外科学]