摘要
目的探讨肝囊肿腹腔镜开窗引流术后复发的原因. 方法回顾性总结1998年6月～2003年8月54例肝囊肿腹腔镜下开窗引流术的临床资料. 结果 52例随访1～6年,5例复发,复发率9.6%(5/52).3例由于囊肿位置特殊开窗过小,1例由于多发囊肿之间的透明隔未予切开,1例系多囊肝术后复发. 结论适应证选择不当、囊肿开窗过小、遗漏多发囊肿以及黏膜处理不当是导致复发的主要原因.
Objective To investigate causes of recurrence of hepatic cysts after laparoscopic fenestration. Methods We retrospectively summarized the experience of 54 cases of hepatic cysts treated with laparoscopic fenestration from June 1998 to August 2003. Results A follow - up in 52 cases for 1-6 years found 5 cases of recurrence, the recurrence rate being 9.6% （5/52）.Among the 5 cases, the artificial opening had been made too small in size in 3 cases because of unusual position of the cysts, the septum within.the lesion had not been fully opened in 1 case, and the recurrence of polycystic liver was confirmed in 1 case.Conclusions Improper selection of patients, too small fenestration of cyst, omission of multiple cysts and inappropriate management of mucous membrane are main causes leading to the recurrence.
出处
《中国微创外科杂志》
CSCD
2005年第8期647-648,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
肝囊肿
腹腔镜
开窗引流术
Hepatic cyst
Laparoscope
Fenestration
