摘要
目的:探讨腹腔镜手术治疗小儿囊性肝包虫病的安全性及应用价值。方法:回顾分析2013年1月至2018年5月为20例囊性肝包虫病患儿行腹腔镜手术的临床资料,观察术中及术后并发症、住院时间、手术切口及预后等指标。结果:20例均顺利完成腹腔镜手术,手术时间55～125 min,平均(75.0±35.0) min;术中出血量5～15 mL,平均(6.0±1.5) mL,术中无一例出现过敏反应及腹腔囊液遗漏。术后2例发生胆漏,分别治疗3 d、5 d后治愈。术后随访2～9个月,未见肝脏及盆腹腔包虫复发。结论:腹腔镜可放大手术视野,易于暴露操作,高位病灶处理方便,在有成熟腹腔镜技术及肝胆外科手术处理经验的前提下,严格把握手术指征,腹腔镜手术治疗小儿肝囊性包虫病是安全的,具有创伤小、术后康复快、美观、家属容易接受等优点,可作为首选治疗术式。
Objective:To discuss the safety and clinical value of laparoscopic surgery in the treatment of children with hepatic cystic echinococcosis.Methods:Clinical data of 20 children who suffered from hepatic cystic echinococcosis and underwent laparoscopic operation from Jan.2013 to May 2018 were retrospectively analyzed,the intraoperative and postoperative complications,hospital stay,surgical incisions and prognosis were observed.Results:All the 20 laparoscopic surgeries were successful.The operation time ranged from 55 to 125 min with an average of(75.0±35.0)min and the blood loss was 5 to 15 mL with an average of(6.0±1.5)mL.No allergic reaction occurred during the operation,and there was no case of peritoneal cystic fluid leakage.Bile leakage happened in 2 cases postoperatively and were cured after 3 d and 5 d respectively.There was no recurrence of liver and pelvic peritoneal echinococcosis after 2-9 months follow-up.Conclusions:Laparoscopy not only magnifies the surgical field,but also is able to expose easily.Furthermore,it is convenient to handle high-position lesions.Under the condition of mature laparoscopic techniques and hepatobiliary surgery experience,laparoscopic operation for children with hepatic cystic echinococcosis is safe through strict indications of laparoscopic surgery.Laparoscopic surgery could be the first choice of patients due to the minimal surgical trauma,fast postoperative recovery,cosmetic appearance as well as easy acceptance by family members.
出处
《腹腔镜外科杂志》
2018年第10期794-797,共4页
Journal of Laparoscopic Surgery
基金
卫生行业科研专项项目(编号:2006BAI05A06)
关键词
棘球蚴病
肝
腹腔镜检查
儿童
Echinococcosis,hepatic
Laparoscopy
Child
