腹腔镜治疗肝囊肿32例分析

The retrospective analysis of 32 hepatic cyst patients treated by laparoscopic technology

目的分析腹腔镜治疗肝囊肿的方法和效果。方法回顾性分析2003年1月至2009年1月行腹腔镜治疗的32例单纯性肝囊肿的临床资料。结果行肝囊肿切除术7例,囊肿开窗引流术25例,合并胆囊结石者同时行胆囊切除术。全组无死亡和严重并发症发生,术后平均住院时间(4.8±1.6)d。结论采用腹腔镜行肝囊肿治疗,只要病例选择适当,精细操作,可以达到创伤小、恢复快、复发率低的效果,为肝囊肿治疗的有效措施。

Objective To study the procedures and values of laparoscopic technology for the hepatic cyst. Methods The clinical data of 32 hepatic cyst patients, including 23 cases of single cyst,9 cases of multi-cyst, receiving the treatment by the laparoscopic technology, were analyzed retrospectively,and 5 patients suffered from gallstone simultaneously. Results The procedure was successfully performed on the 32 cases. Twenty-five cases received laparoscopic cyst fenestration, and 7 received cyst excision. Five patients with gallstone received laparoscopic cholecystotomy at the same time. All the 32 patients left hospital satisfactorily, and no dead and severe complication came forth. The average postoperative hospital length was（4. 8 ± 1.6）days. Conclusion As long as the patients selected reasonably and manipulated carefully, laparoscopy was a safe, reliable, minimally invasive, reasonable, effective procedure for the hepatic cyst with a less recurrence rate.