| 摘要: |
| ［目的］ 探讨腹腔镜肝囊肿去顶开窗术的临床应用价值。［方法］回顾总结46例肝囊肿患者的临床资料。其中单发肝囊肿32例，多发肝囊肿14例，均行腹腔镜去顶开窗术。［结果］44例患者成功行腹腔镜肝囊肿去顶开窗术，手术时间30～85 min，平均45 min。平均住院4.5 d。术后随访时间1年，复发2例，均为多囊肝患者。中转开腹2例（囊腔与胆管相通1例，血管损伤1例）。［结论］腹腔镜肝囊肿去顶开窗术具有操作简单，创伤小、痛苦轻，患者康复快、住院时间短等优点。 |
| 关键词: 肝囊肿 开窗术 腹腔镜技术 |
| DOI：10.11724/jdmu.2008.03.18 |
| 分类号:R656 |
| 基金项目: |
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| Report of 46 cases of laparoscopic fenenstration and deroofing in hepatic cyst |
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WANG Wei1, LI Ke-jun1, DONG Lei1, WANG Jun-de2
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1.Department of General Surgery, the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China;2.Dalian Medical University, Dalian 116044,China
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| Abstract: |
| ［Objective］To explore the value of laparoscopic technology of the treatment in hepatic cyst.［Methods］The clinical data of 46 patients with hepatic cyst who received laparoscopic fenestration from Feb 1996 to Feb 2007,were analyzed retrospectively.［Results］The procedure was successfully performed in 44 cases, the duration of operation was 30～85 min, 45 min on average, Average length of postoperative hospitalization was 4.5 days. 2 cases were found to recurrence after a year follow-up. 2 cases were conversed to open abdominal operation (1 case for the cyst connected with biliary duct, 1 case for the vascular injury).［Conclusions］Laparascopic fenestration and deroofing is a reasonable and effective technology in the treatment in hepatic cyst with less trauma, slight pain and fast recovery. |
| Key words: hepatic cyst fenestration laparoscopic technology |
