腹腔镜诊治肝脏良性病变

Laparoscopy for hepatic benign lesions

目的 探讨腹腔镜技术诊治肝脏良性疾病的价值。方法 分析 14例经腹腔镜手术治疗的肝脏良性疾病的临床效果。结果 辅助性腹腔镜肝血管瘤切除术 2例 :1例恢复顺利 ,1例术后胆瘘 ,后治愈 ;腹腔镜肝脓肿置管引流术 5例 ,均痊愈 ;腹腔镜肝囊肿开窗引流术 5例 ,均痊愈 ;腹腔镜肝破裂电凝止血术 1例 ,痊愈 ;腹腔镜肝包虫囊肿内囊摘除术 1例 ,痊愈。结论 腹腔镜肝切除术值得探索 ;腹腔镜肝脓肿置管引流术、肝囊肿开窗引流术。

Objective Application of laparoscopy to deal with hepatic benign lesions was studied Methods The materials of laparoscopy for 14 patients suffering from hepatic benign disorders were retrospectively analysed Results Satisfactory outcome had been achieved with celioscopy for draining abscess (n=5), deroofing cyst (n=5), enucleating hydatid (n=1), coagulating bleeders from injury (n=1), and resecting hemangioma (n=2) All recovered uneventfully except one who complicated biliary fistula after hepatectomy with spontaneous closure Conclusion Laparoscopic hepatectomy for benign angioma should be further explored