围手术期挑战和大单纯性及感染性肝囊肿的手术治疗：12 年经验。
Perioperative challenges and surgical treatment of large simple, and infectious liver cyst - a 12-year experience.
机构信息
Department of Surgery, University School of Medicine, Kurume, Japan.
出版信息
PLoS One. 2013 Oct 2;8(10):e76537. doi: 10.1371/journal.pone.0076537. eCollection 2013.
BACKGROUND
Cystic lesions of the liver consist of a heterogeneous group of disorders that can present diagnostic and therapeutic challenges.
METHODS
A retrospective review of all medical records of adult patients diagnosed with large (>7 cm) cystic lesions of the liver between January 2000 and December 2011, at Kurume University Hospital. Cases with polycystic disease were excluded.
RESULTS
Twenty three patients were identified. The mean size was 13.9 cm (range, 7-22cm). The majority of simple cysts were found in women (females: males, 2: 21). In 19 patients, the cyst was removed surgically by wide deroofing (laparoscopically in 16 cases, combined with ethanol sclerotherapy in 13 cases). Infection of the liver cyst occurred in one patient, who later underwent central bi-segmentectomy.
CONCLUSION
Simple large cysts of the liver can be successfully treated by laparoscopic deroofing and alcohol sclerotherapy. Large hepatic cyst considered to need drainage should be removed surgically to avoid possible infection.
背景
肝囊肿病变由一组异质性疾病组成，这些疾病可能在诊断和治疗方面带来挑战。
方法
回顾性分析 2000 年 1 月至 2011 年 12 月期间在久留米大学医院诊断为肝大囊肿（>7cm）的成年患者的所有病历。排除多囊性疾病的病例。
结果
共确定了 23 例患者。平均大小为 13.9cm（范围 7-22cm）。大多数单纯性囊肿发生在女性（女性：男性，2：21）。19 例患者通过广泛去顶术（16 例腹腔镜，13 例联合乙醇硬化治疗）切除囊肿。1 例患者出现肝囊肿感染，随后行中央双段切除术。
结论
腹腔镜去顶术和乙醇硬化治疗可成功治疗单纯性大肝囊肿。需要引流的大肝囊肿应通过手术切除，以避免可能的感染。
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