应用腹腔镜治疗肝包虫病临床经验与体会(附120例报告)  

Experience with laparoscopic treatment of hepatic hydatid cysts

作　　者：谢金敏[1] 高毅[1] 师龙生[2] 唐增杰[2] 

机构地区：[1]第一军医大学珠江医院肝胆外科,广东广州510282 [2]解放军第474医院普外科,新疆乌鲁木齐830011

出　　处：《第一军医大学学报》2003年第12期1349-1351,共3页Journal of First Military Medical University

摘　　要：目的总结腹腔镜治疗肝包虫病的临床经验。方法对120例腹腔镜肝包虫内囊摘除术患者进行回顾性的分析。结果手术均获成功,未发生肝包虫囊液溢出、过敏性休克,无手术死亡,4例术后复发(非原发部位),8例术后胆漏,8例残腔积液,1例术后出血,均获治愈。结论腹腔镜肝包虫内囊摘除术是治疗肝包虫病安全、有效的微创方法。Objective To summarize our experience with laparoscopic treatment of hepatic hydatid cysts. Methods A total of 120patientswithhepatichydatidcystswhoreceivedlaparoscopictreatmentwereretrospectivelyanalyzed.Results Theprocedure was successful in all cases with no intraoperative rupture of the cysts or occurrence of anaphylactic shock. Amongthese patients, biliary fistula occurred in 8 cases, residual cavity effusion in 8, recurrence at other sites in 4, and postoperativebleeding in 1 case, but all cases were cured without mortality. Conclusion Laparoscopic treatment is safe and effective forhepatic hydatid cysts.

关 键 词：腹腔镜 手术治疗 肝包虫病 临床经验 内囊摘除术 

分 类 号：R657.3[医药卫生—外科学]