腹腔镜手术治疗肝囊肿的临床分析

The clinical analysis of laparoscopy in the treatment of hepatic cyst

目的:探讨腹腔镜手术治疗肝囊肿的方法和疗效。方法:总结为136例肝囊肿患者行腹腔镜开窗引流术的经验,巨大囊肿行部分囊壁切除术,3%碘酊、酒精处理残面囊壁,腹腔放置引流管。结果:本组手术均用腹腔镜完成,无中转开腹,手术时间20～60min,平均31min。随访6个月至10年,无复发。结论:腹腔镜治疗肝囊肿可到达开腹手术看不见的部位,具有微创,患者痛苦小,康复快,安全可靠等优点,值得临床推广应用。

Objective： To investigate the method and effect of laparoscopy in the treatment of hepatic cyst. Methods ： The experiences of 136 cases with hepatic cysts accepted laparoscopic fenestration and drainage were summarized. Partial cystic wall of giant cyst was excised, the remnant cystic wall was treated by 3% Iodine and alcohol, drainage tube was put into abdomen. Results：All of the operations were completed by laparoscopy,without conversion to open surgery. The operating time was 20 to 60 minutes, the average was 31 minutes,and there was no recurrence in 6 months to ten years＇ follow-up. Conclusions：Laparoscopy can reach the position which laparotomy can＇t in the treatment of hepatic cyst. It is safe,reliable,mini-invasive and worthy to be generalized clinically,with advantages of less trauma and quicker recovery.