腹腔镜开窗术治疗单纯性肝囊肿的临床观察  

Clinical Effects of Laparoscopic Fenestration on the Treatment of Simple Hepatic Cyst

作　　者：祝建勇[1] 邱宝安[1] 郭晓东[2] 夏念信[1] 杨英祥[1] 刘鹏[1] 安阳[1] 吴印涛[1] 

机构地区：[1]海军总医院肝胆外科,北京100048 [2]解放军第302医院,北京100039

出　　处：《现代生物医学进展》2014年第10期1901-1903,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金青年基金项目(30901795)

摘　　要：目的:近年来,腹腔镜作为微创外科的代表,以创伤小、恢复快、治愈率高等优点被广泛应用于外科手术中。腹腔镜肝囊肿开窗术适用于孤立性的单纯性肝囊肿进行减压引流,手术效果较好。本文通过观察腹腔镜下开窗术治疗单纯肝囊肿的临床疗效,探讨腹腔镜手术的特点及优势,为临床肝胆疾病的手术治疗提供研究依据。方法:选取2009年2月-2012年12月在我院接受治疗的单纯肝囊肿患者76例,随机分为观察组和对照组。其中观察组患者采取腹腔镜下开窗术治疗,对照组患者采取传统开腹手术治疗。观察并比较两组患者的手术时间、术中出血量、胃肠功能恢复时间、住院时间等。结果:观察组患者的术中出血量、手术时间、胃肠功能恢复时间及住院时间均优于对照组,差异显著具有统计学意义(P<0.05)。结论:腹腔镜手术创伤小、术中出血量少、术后恢复快、最大程度的减轻患者痛苦,腹腔镜开窗术治疗单纯肝囊肿的临床效果显著,值得临床推广应用。Objective： With the development of medical technics, the celoscope, as the burgeoning minimally invasive method, has been applied widely on the clinical field with obvious effects. Laparoscopic fenestration of hepatic cyst is suitable for the simple hepatic cysts to decompress and drain with better effects. This study aims to analyze the characteristics and advantages of laparoscopic fenestration by observing the clinical effects on the treatment of simple hepatic cyst so as to provide some references for clinical surgery. Methods： 76 patients with the simple hepatic cyst who were treated in our hospital from February 2009 to December 2012 were selected and randomly divided into two groups. The patients in the observation group were treated by the laparoscopic fenestration, while the patients in the control group were treated by the conventional method. Then the blood loss, the operation time, the hospitalization and the recovery of gastrointestinal function of patients were observed and compared between two groups. Results： The blood loss, the operation time, the hospitalization and the recovery of gastrointestinal function of patients in the observation group were obviously better than those of the patients in the control group with statistically significant differences （P〈0.05）. Conclusions： With the advantages of the minimally invasive trauma, less blood loss, quicker recovery and so on, the laparoscopic fenestration is suitable for the patients with simple hepatic cyst which makes contribution to minimize the damages brought by the operation and it is worthy of promotion.

关 键 词：腹腔镜开窗术 单纯性肝囊肿 临床疗效 

分 类 号：R657.3[医药卫生—外科学]