摘要
目的:总结腹腔镜治疗肝包虫病的经验,探讨其安全性、可行性及适应证。方法:回顾分析17例腹腔镜治疗肝包虫病患者的临床资料,分别行腹腔镜肝包虫内囊摘除及残腔处理、外囊切除或肝部分切除术。结果:本组除1例中转开腹外余均在腹腔镜下完成手术,平均手术时间约50min,平均出血量约120ml,术后当天患者可下床活动,平均住院6d,术后1例出现胆漏,1例1年后复发,无腹腔种植。结论:严格选择手术适应证,腹腔镜手术治疗肝包虫病安全可行。
Objective：To summarize clinical experience and investigate the feasibility,safety, and indications of laparoscopy in the treatment of hepatic echinococcosis. Methods：The clinical data of 17 patients （ male 7, female 10） with hepatic marginal hydatid cysts who underwent laparoscopic extration were retrospectively analyzed, including laparoscopic excision of hepatic hydatid internal capsule,excision of hepatic hydatid external capsule and partial hepatectomy. Results：All cases were successfully performed laparoscopic surgery, except one converted to laparotomy. No death case was encountered. The average operation time was 50min, the average blood loss was 120ml. Patients could walk freely on the first day after operation,and hospitalization time was 6d. One case recurred in 1 year after operation. No abdominal cavity plantation occurred. Conclusions ： Laparoscopic surgery of hepatic echinococcosis is a safe and feasible procedure with the strict selection of indication.
出处
《腹腔镜外科杂志》
2009年第9期674-675,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜术
肝包虫内囊摘除术
肝包虫囊肿切除术
肝部分切除术
Laparoscopy
Excision of hepatic hydatid internal capsule
Excision of hydatid cyst of liver
Partial hepatectomy
