腹腔镜治疗肝囊肿的临床疗效分析

The Clinical Analysis of Laparoscopic in Treatment of Congenital Hepatic Cysts

目的探讨腹腔镜治疗肝囊肿的手术方法及临床疗效。方法回顾性分析我院1997年8月～2006年12月应用腹腔镜治疗64例肝囊肿患者的临床资料。结果64例患者中62例手术成功,53例行囊肿开窗引流术,4例行囊肿切除及5例行部分肝切除,2例中转开腹。手术时间15～120min,平均42min。术后平均住院4.6d。随访58例,5例多囊肝复发。结论腹腔镜肝囊肿手术具有安全、创伤小、术后恢复快、住院时间短等优点,可作为先天性肝囊肿手术的金标准。

Objective To evaluate the effect of laparoscopic operation in the treatment of congenital hepatic cyst. Methods We retrospectively summarized the experience of 64 hepatic cyst patients received laparoscopic surgery in our hospital from Aug 1997 to Dec 2006. Results 64 patients with liver cyst were operated. 62 patients were operated successfully. 53 patients underwent laparoscopic cyst unroofing,4 patients underwent laparoscopic cyst excision and 5 patients underwent partial liver resection. In 2 patients the procedure was converted to laparatomy. 5 patients with polycystic liver han recurrent after laparoscopiv unroofing. The mean operation time was 42min（ 15 - 120min）, the average length of hospital stay was 4.6 days. Conclusion Laparoscopic operation in treatment of hepatic cyst is safe, minor invasion, sooner recovery and shorter hospital stay. Laparoscopic treatment of congenital hepatic cysts has become the new gold standard.