腹腔镜肝脓肿引流术13例报告

Laparoscopic liver abscess drainage: a report of 13 cases

目的:探讨腹腔镜肝脓肿引流术的手术方法及临床应用价值。方法:回顾分析2003年4月至2011年6月为13例肝脓肿患者行腹腔镜肝脓肿引流术的临床资料。结果:12例成功完成腹腔镜手术,1例中转开腹;同时行胆囊切除术2例、肝左外叶切除术1例。手术时间30～120 min,术中出血量<120 ml。术后患者体温2～4 d恢复正常,引流量100～400 ml,术后住院8～21 d,平均13 d。结论:腹腔镜肝脓肿引流术微创、安全、可行,尤其适合脓腔较大、多腔的肝脓肿,久病体弱的患者亦能较好地耐受此手术,可减少患者的住院时间及费用,是治疗肝脓肿较理想的方法。

Objective：To discuss the operative method and clinical application value of laparoscopic liver abscess drainage. Methods：Clinical data of 13 patients who underwent laparoscopic liver abscess drainage from Apr. 2003 to Jun. 2011 were retrospectively analyzed. Results ：Twelve laparoscopic operations were successfully performed and 1 case was converted to laparotomy. 2 patients underwent cholecystectomy and 1 underwent hepatic left lateral lobectomy meanwhile. Operative time was 30-120 min, intraoperative blood loss was less than 120 ml. Postoperative body temperature recovered to normal 2-4 d after operation. The drainage volume was 100-140 ml. Postoperative hospital stay was 8-21 d with a mean of 13 d. Conclusions：Laparoscopic liver abscess drainage is minimally invasive, safe and feasible, especially suitable for patients with large and multiple abscess cavity. Invalidism and physically weak patients can tolerate this procedure. This operation can decrease the hospital stay and cost, and is an ideal treatment for hepatic abscess.