腹腔镜治疗肝包虫病:附120例报告

Laparoscopic treatment of hepatic hydatid cysts:a report of 120 cases

目的 总结腹腔镜治疗肝包虫病的临床经验。方法 回顾性分析腹腔镜肝包虫内囊摘除术 12 0例的临床资料。结果 手术均获成功。未发生肝包虫囊液溢出及过敏性休克。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。

Objective To summarize the clinical experience of laparoscopic treatment of hepatic hydatid cysts. Methods The clinical data of 120 patients with hepatic hydatid cysts who received laparoscopic endocyst extraction were retrospectively analyzed .Results The procedure was successful in all cases with no intraoperative leakage of fluid from the hepatic hydatid cysts or occurrence of anaphylactic shock. Postoperatively, there were 4 cases of recurrence , 8 cases of biliary fistula, 8 cases of residual cavity hydrops, and 1 case of postoperative bleeding.All of the cases were cured.The mortality in our study was zero.Conclusions Laparoscopic extraction of endocyst of hepatic hydatid cysts is a safe and effective procedure.