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腹腔镜治疗新生儿先天性非寄生虫性肝囊肿

Laparoscopic Treatment of Congenital Nonparasitic Liver Cysts in Newborns.

作者信息

Kozlov Yury, Kovalkov Konstantin, Kapuller Vadim

机构信息

Department of Neonatal Surgery, Municipal Pediatric Hospital, Irkutsk, Russia.

Department of Pediatric Surgery, Irkutsk State Medical Academy of Continuing Education (IGMAPO), Irkutsk, Russia.

出版信息

J Laparoendosc Adv Surg Tech A. 2019 Oct;29(10):1325-1329. doi: 10.1089/lap.2018.0804. Epub 2019 Sep 24.

Abstract

Congenital nonparasitic liver cysts in newborns are rare. Surgical excision of these formations is necessary to prevent complications. Reports of laparoscopic treatment of simple liver cysts in children are sporadic. We present a series of 3 patients with liver cysts treated laparoscopically in a single center. We added a short review of the literature. Data of 3 patients with nonparasitic liver cysts were collected at our center, from 2014 to 2019. Early and long-term results of laparoscopic operations were studied. All patients were newborns, and of these, 2 were girls and 1 boy. The primary diagnosis was established during prenatal ultrasound examination. The laparoscopic approach was used in all patients. Complete resection of the cysts was achieved laparoscopically in all cases. Pathology reports were consistent with nonparasitic liver cysts. The early postoperative period was uneventful with prompt discharge. In the long-term follow-up period, there were no recurrences of the disease. The study presents one of the largest series of laparoscopic excision of nonparasitic liver cysts in newborns. We conclude that laparoscopy is a safe and effective method of treating of congenital hepatic cysts.

摘要

新生儿先天性非寄生虫性肝囊肿较为罕见。手术切除这些肿物对于预防并发症很有必要。关于儿童单纯性肝囊肿腹腔镜治疗的报道较为零散。我们呈现了在单一中心接受腹腔镜治疗的3例肝囊肿患儿病例系列。我们还对相关文献进行了简短综述。2014年至2019年期间,我们中心收集了3例非寄生虫性肝囊肿患儿的数据。研究了腹腔镜手术的早期和长期结果。所有患儿均为新生儿,其中2例为女孩,1例为男孩。初步诊断在产前超声检查时确立。所有患儿均采用腹腔镜手术入路。所有病例均通过腹腔镜实现了囊肿的完整切除。病理报告与非寄生虫性肝囊肿相符。术后早期情况平稳,患儿很快出院。在长期随访期间,疾病无复发。本研究呈现了最大规模的新生儿非寄生虫性肝囊肿腹腔镜切除术病例系列之一。我们得出结论,腹腔镜手术是治疗先天性肝囊肿的一种安全有效的方法。

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