摘要
目的探讨腹腔镜下肝脓肿引流术的适应证、手术方法和临床意义。方法回顾性分析近3年来该中心应用腹腔镜施行肝脓肿引流术的病例资料。结果全组46例,腹腔镜手术均获得成功,无1例中转开腹。平均手术时间为55 min,(60±35) min,术后平均住院日为12 d,(14±6) d,35例获得3～30个月的随访,围手术期无严重并发症,1例胆漏,2例引流不畅,经调整引流管位置、腹腔灌洗等保守治疗后治愈,1例术后1个月复发,经再次腹腔镜下引流术痊愈。结论腹腔镜下肝脓肿引流术操作简单,手术创伤小,术后并发症少,腹腔污染轻,患者恢复快,是一种理想的治疗手段,值得临床推广。
Objective: To explore the indication,operative techniques and clinical value of laparoscopic drainage for liver abscess. Methods: The data of laparoscopic drainage for liver abscess, which has been performed in our center in recent 3 years, were retrospectively analysed. Results: Laparoscopic drainage in all 46 patients was performed successfully without transferring laparotomy. The mean operative duration was 55 min (60±35) min, and the average postoperative hospital stay was 12 d(14±6) d. Follow-up was made in 35 cases for 3～30 months, there was no perioperative severe complication. Bile leak occurred in 1 case,and obstructed tubes in 2 cases; All complications were cured by conservative treatment including adjusting drainage tubes'sites and peritoneal lavage. Recurrence took place in 1 patient at 1 month after operation,and was treated by laparoscopic drainage again. Conclusions: Laparoscopic drainage for liver abscess is an ideal treating approach with advantages such as simple manipulation, tiny trauma, less complications, slight contamination inside abdominal cavity and rapid recovery,deserving clinical popularization.
出处
《中国内镜杂志》
CSCD
2004年第7期10-11,14,共3页
China Journal of Endoscopy
关键词
腹腔镜
肝脓肿
引流术
laparoscopy
liver abscess
drainage
