腹腔镜肝囊性棘球蚴病内囊摘除探讨(附16例报告)  

Laparoscopic liver endo-cystectomy for hepatic cystic echinococcosis(report of 16 cases )

作　　者：常仁安[1,2] 盛陈毅 吾布立.哈斯木[2] 阿吉木.阿不力克木 Chang Renan;Sheng Chenyi;Wubuli·Hasimu;Afimu·Abtdikemu(Department of Hepatobiliary Surgery, Affiliated Hospital of Nantong University, Nantong 226001, China;Department of General Surgery, Kezhou People＇s Hospital of Xinjiang, Atushi 845350, China)

机构地区：[1]南通大学附属医院肝胆外科,226001 [2]克州人民医院普外科,阿图什845350

出　　处：《中华腔镜外科杂志（电子版）》2018年第2期121-122,共2页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：江苏省临床医学科技专项(BL2014060);克州科技医疗援疆项目(2017-55);南通市社会发展项目(MS22016041)

摘　　要：目的观察并探讨肝囊性棘球蚴病腹腔镜内囊摘除治疗的疗效、适应证及注意点。方法对克州人民医院2012年8月至2017年7月收治的肝囊性棘球蚴病且行腹腔镜内囊摘除的16例患者的临床资料进行回顾性研究。结果 16例腹腔镜内囊摘除均完成了腹腔手术,手术时间1~3 h,平均(1.7±0.4)h;住院时间6~11 d,平均(7.2±1.7)d。全部患者于术前7 d开始口服阿苯达唑[10 mg/(kg·d)]至术后3个月。术后无明显腹水、残腔积液、感染等并发症,随访6~36个月,无棘球蚴病复发病例。结论采取腹腔镜手术治疗肝棘球蚴病具有损伤小、恢复快等优点,但应掌握好手术适应证,做好围手术期处理,术中周围脏器给予妥善保护,减少变态反应及腹腔种植发生。Objective Observe and summarize the efficacy of laparoscopic liver endo-cystectomy for hepatic cystic echinococcosis. Methods The clinical data of 16 cases of hepatic cystic echinococcosis admitted from Aug. 2012 to Jul. 2017 in our hospital and laparoscopic liver endo-cystectomy were summarized and analyzed. Results 16 cases with laparoscopic surgery have achieved a one-time success.The operation time was 1-3 hours,with an average of（1. 7 ± 0. 4） hours and hospital stay of 6-11 days（mean,7. 2 ± 1. 7） days. All patients received albendazole[10 mg/（kg·d） ]7 days before operation and3 months after operation. All patients were followed up for 6-36 months,no recurrence of disease,and no obvious residual fluid, infection and other complications. Conclusions Laparoscopic surgery for the treatment of hepatic cystic echinococcosis has the advantages of rapid recovery from injury and so on.However,surgical indications should be strictly followed and perioperative management should be carried out. Intraoperative organs should be well protected from anaphylaxis, intraperitoneal implantation and reduction of operation after the recurrence.

关 键 词：肝棘球蚴 腹腔镜 内囊摘除 

分 类 号：R657.3[医药卫生—外科学]