Fiori E, Galati G, Gazzanelli S, Costanzo F, De Toma G
I Cattedra di Patologia Speciale Chirurgicà, Università degli Studi La Sapienza, Roma.
G Chir. 1994 Oct;15(10):450-4.
The authors report 10 cases of giant non-parasitic congenital cysts of the liver (7.7-25 cm in size). All the patients were symptomatic; preoperative ultrasonography was diagnostic in all cases allowing to discover the cyst. Six patients underwent partial resection of the cyst (in one of these a cystojejunostomy was performed), while atypical hepatic resection was performed in two cases, enucleation in one and left lobectomy in another case. No evidence of malignant degeneration was found in the histologic study of the specimens. No mortality nor morbidity were registered. All patients were followed up for 1-20 years and no recurrences were found. The authors point out that partial resection of the cyst is a safe operation with good immediate and long-term results.
作者报告了10例巨大非寄生虫性先天性肝囊肿（大小为7.7 - 25厘米）。所有患者均有症状；术前超声检查在所有病例中均具有诊断性，可发现囊肿。6例患者接受了囊肿部分切除术（其中1例进行了囊肿空肠吻合术），2例进行了非典型肝切除术，1例进行了囊肿摘除术，另1例进行了左叶切除术。在标本的组织学研究中未发现恶性变的证据。无死亡病例和并发症记录。所有患者均随访1 - 20年，未发现复发。作者指出，囊肿部分切除术是一种安全的手术，近期和长期效果良好。
