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腹腔镜手术治疗非寄生虫性肝囊肿:一系列连续病例的观察结果

Laparoscopic Surgery in Nonparasitic Cysts of the Liver: Results Observed in a Series of Consecutive Cases.

作者信息

Manterola Carlos, Otzen Tamara

机构信息

*Department of Surgery and Traumatology †Center for Surgical and Morphological Studies (CEMyQ), Universidad de La Frontera ‡Center for Biomedical Research, Universidad Autónoma, Chile §Universidad Científica del Sur, Perú

出版信息

Surg Laparosc Endosc Percutan Tech. 2016 Aug;26(4):308-12. doi: 10.1097/SLE.0000000000000303.

Abstract

The purpose of this study was to report the results of laparoscopic treatment of nonparasitic cysts of the liver (NPCL) in terms of postoperative morbidity (POM) and recurrence. Prospective case series of patients operated on for NPCL at the Clínica Mayor in Temuco, Chile (2008 to 2015). The preoperative study consisted of general examinations, abdominal ultrasound or computed tomographic scan. The outcome variable was POM. Other variables of interest were surgical time, need for conversion, hospital stay, mortality, and recurrence. In the study period, 41 patients with NPCL underwent surgery. Median age of the series was 58 years, and 75.6% of the cases were female. The median ultrasound diameter of the lesions was 10 cm and surgical time was 50 minutes. All patients underwent a cystectomy. There was no conversion, no record of POM, mortality or recurrence. The treatment applied in this series of NPCL is associated with an adequate postoperative evolution.

摘要

本研究的目的是报告腹腔镜治疗非寄生虫性肝囊肿(NPCL)在术后发病率(POM)和复发方面的结果。这是一项针对在智利特木科市市长诊所接受NPCL手术患者的前瞻性病例系列研究(2008年至2015年)。术前检查包括全身检查、腹部超声或计算机断层扫描。结果变量为POM。其他感兴趣的变量包括手术时间、中转需求、住院时间、死亡率和复发情况。在研究期间,41例NPCL患者接受了手术。该系列患者的中位年龄为58岁,75.6%的病例为女性。病变的中位超声直径为10厘米,手术时间为50分钟。所有患者均接受了囊肿切除术。无中转情况,无POM、死亡率或复发记录。本系列NPCL所采用的治疗方法与术后良好的病情发展相关。

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