非寄生虫性肝囊肿74例临床分析

Clinical Analysis of 74 Patients with Nonparasitic Liver Cysts

目的:比较腹腔镜和剖腹开窗引流术治疗肝囊肿的疗效、术中和术后情况及随访结果,以探寻外科治疗肝囊肿较优势的方法。方法:回顾性分析2004年1月-2012年8月行腹腔镜开窗术(56例,腹腔镜组)和剖腹开窗术(18例,开腹组)的肝囊肿患者的临床资料,并对手术时间、住院时间、住院费用、手术并发症、复发率及随访问卷调查结果进行对比分析。结果:74例均顺利实施手术,无手术死亡病例。手术时间及住院时间剖腹组明显高于腔镜组;住院费用、手术并发症及复发率两组间无明显差异;随访各评价结果两组间无明显差异。结论:腹腔镜及剖腹开窗引流术疗效好及复发率低,但腹腔镜在治疗肝囊肿更据优势。

Objective To compare the curative effects of laparoscopic fenestration and laparotomy fenestration for liver cysts, observe the intraoperative and postoperative statuses and the follow-up results, so as to explore the better surgical therapy for hepatic cyst Methods 74 patients with nonparasitic liver cysts underwent surgical treatment from January 2004 to August 2012. The patients were assigned to the laparoscopic surgery group（n=56） or laparotomy fenestration group （n=18）. The information of two groups was contrastively analyzed retrospectively, such as the operation time, length of stay, cost of hospitalization, postoperative complications, recurrence rate and follow-up survey results. Results 74 patients received surgery treatment successfully with no operative mortality. The operative time and length of stay of laparotomy fenestration group were significantly higher than those of the laparoscopic surgery group. The cost of hospitalization, postoperative complications andrecurrence rate of two groups had no significant statistical difference, lhe follow-up survey results of two groups had no significant difference. Conclusion Laparoscopic and Laparotomy fenestration both have the nice curative effect and the low recurrence rate. However, laparoscopic treatment for hepatic cysts is advantageous