Eggink W F, van der Heyde M N, Brandt K H, van Berge Henegouwen G P
Department of Surgery, Rijnstate-GZ, Arnhem, The Netherlands.
Neth J Surg. 1988 Oct;40(5):136-8.
Six patients with polycystic liver disease and a different clinical presentation are presented. Two patients were unaware of enormously enlarged livers, two patients with only minor complaints had huge livers reaching into the pelvis and finally, two patients had equally enlarged livers with almost unbearable complaints and insisted on operation. One patient was treated with deroofing and fenestration of multiple cysts (Lin Ty et al., Ann Surg 168: 921-923, 1968). The second patient underwent left hepatic lobectomy. Partial liver resection should be considered in patients with severe mechanical complaints if the majority of cysts is located in one liver lobe.
本文介绍了6例多囊肝疾病患者,其临床表现各异。2例患者未意识到肝脏已极度肿大,2例仅有轻微不适的患者肝脏巨大,已延伸至盆腔,最后,2例患者肝脏同样肿大,伴有几乎无法忍受的不适,坚持要求手术。1例患者接受了多个囊肿的去顶开窗术(林泰等人,《外科学年鉴》168:921 - 923,1968年)。第2例患者接受了左肝叶切除术。如果大多数囊肿位于一个肝叶,对于有严重机械性不适的患者应考虑行部分肝切除术。