传统手术与腹腔镜手术治疗肝包虫病：6 年单中心经验。
Conventional versus laparoscopic surgery for hepatic hydatidosis: a 6-year single-center experience.
机构信息
Liver and Laparoscopic Surgery Department, Digestive and Vascular Surgery Centre, The First Affiliated Hospital of Xinjiang Medical University, No. 137, Liyushan Road, Xinshi District, Urumqi, 830054, Xinjiang Uyghur Autonomous Region, China.
出版信息
J Gastrointest Surg. 2014 Jun;18(6):1155-60. doi: 10.1007/s11605-014-2494-4. Epub 2014 Apr 15.
BACKGROUND
The aim of this study is to evaluate the clinical results of laparoscopic surgery compared with conventional surgery.
METHODS
Records of patients who underwent surgery for liver hydatid disease between 2005 and 2011 were reviewed. Operative time, blood loss, conversion to open, postoperative morbidity, mortality, hospital stay, and recurrence rate were measured.
RESULTS
Among 353 eligible patients, 60 were considered for laparoscopic and 293 for conventional surgery. Operative time was slightly increased in laparoscopic group. No major blood loss and blood transfusion were needed. Postoperative hospital stay was significantly short in laparoscopic group (3.8 ± 1.2 days) than that in conventional group (7.4 ± 1.4 days). The overall morbidity was 13.3 % (8/60) in laparoscopic and 19.8 % (58/293) in conventional group without significance. Both conversion rate and mortality was 0 %. One recurrence in laparoscopic (1.7 %, 1/60) and five in conventional group (1.7 %, 5/293) occurred within 48 months of follow-up.
CONCLUSIONS
Laparoscopic treatment of liver hydatid disease is safe and effective in selected patients with all its advantages.
背景
本研究旨在评估腹腔镜手术与传统手术相比的临床效果。
方法
回顾了 2005 年至 2011 年间接受肝包虫病手术的患者记录。测量手术时间、出血量、中转开腹、术后发病率、死亡率、住院时间和复发率。
结果
在 353 名符合条件的患者中，60 名患者被认为适合腹腔镜手术，293 名患者适合传统手术。腹腔镜组的手术时间略有增加。两组均未发生大量出血和输血。腹腔镜组术后住院时间明显短于传统组（3.8±1.2 天）。腹腔镜组总发病率为 13.3%（8/60），传统组为 19.8%（58/293），无显著性差异。转换率和死亡率均为 0%。腹腔镜组（1.7%，1/60）和传统组（1.7%，5/293）各有 1 例和 5 例在 48 个月的随访期内复发。
结论
在选择的患者中，腹腔镜治疗肝包虫病是安全有效的，具有所有优势。
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