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肝囊肿的腹腔镜治疗

Laparoscopic management of hepatic cysts.

作者信息

Caetano-Júnior Elesiário Marques, Linhares Marcelo Moura, Matos Délcio, Schraibman Vladimir, Matone Jacques, Saad Sarhan Sidney

机构信息

Department of Surgical Gastroenterology, Federal University of Sao Paulo, Sao Paulo, Brazil.

出版信息

Surg Laparosc Endosc Percutan Tech. 2006 Apr;16(2):68-72. doi: 10.1097/00129689-200604000-00002.

Abstract

The present study describes the technique and evaluation of postsurgical results, hospital stay, and follow-up of patients who underwent hepatic cyst surgical treatment by laparoscopic access. Twelve patients presenting liver cystic disease were included in this research. Clinical conditions, laboratorial and radiologic examinations, surgical technique, complications, and postoperative follow-up were discussed. In our series, the morbidity rate was 25%. No mortality was observed in the postoperative period. Conversion to open surgery was necessary in 1 case, owing to hemorrhage. No recurrence was found and patients remain asymptomatic in their current follow-up. Laparoscopic resection of hepatic cyst proved to be efficient in the regression of the cysts and resulted in disappearance of symptoms.

摘要

本研究描述了通过腹腔镜入路进行肝囊肿手术治疗的患者的手术技术、术后结果评估、住院时间及随访情况。本研究纳入了12例患有肝囊性疾病的患者。讨论了临床情况、实验室和影像学检查、手术技术、并发症及术后随访情况。在我们的系列研究中,发病率为25%。术后未观察到死亡病例。1例因出血需要转为开腹手术。未发现复发情况,且患者在目前的随访中仍无症状。腹腔镜肝囊肿切除术被证明在囊肿消退方面有效,并导致症状消失。

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