摘要
目的探讨腹腔镜肝囊肿治疗的指征和处理方法。方法腹腔镜治疗36例肝囊肿,肝囊肿开窗引流32例,肝左外叶切除1例,肝Ⅲ段切除1例,肝Ⅴ段切除2例。20例合并有胆囊结石或息肉者先行胆囊切除,再处理肝囊肿。结果36例肝囊肿腹腔镜成功治疗,无中转开腹。术后肝囊肿原位复发6例,复发率为16.7%。术后发生胆漏2例,无腹腔脓肿、出血发生。结论严格掌握腹腔镜治疗肝囊肿指征,依据囊肿大小、数目、部位选择恰当的治疗方法,是提高肝囊肿腹腔镜治愈率,降低并发症和复发率的关键。
Objective To discuss about indication and management of laparoscopical therapy for hepatic cyst.Methods 36 patients with hepatic cyst were treated with laparoscopical technique.Among them,32 cases were laparoscopic fenestration,one case was performed a left lateral hepatectomy,one case was Ⅲ segmental hepatectomy,two case were segmental Ⅴ hepatectomy.20 cases of hepatic cyst were complicating with gallstone or cholecystic polypus and performed a laparoscopic cholecystectmy,hepatic cysts were sequentially treated.Results 36 cases were succesfully treated,no case was converted an open operation.6 cases were in situ recurrence after operation,recurrence was 16.7%.2 cases were biliary leakage,intra-abdominal abscess and bleeding didn′t occurred.Conclusion It is the key measures to elevate cure rate and lower the complication and recurrence,to strictly control the indications of therapeutic laparoscopy for hepatic cyst,to select appropriate procedures according by the size,number and site of cystis.
出处
《肝胆外科杂志》
2010年第1期34-36,共3页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
肝囊肿
指征
处理
laparoscope
hepatic cyst
indication
management
