Zacherl J, Imhof M, Függer R, Fritsch A
University Clinic of Surgery, AKH 21.A, Waehringerguertel 18-20, A-1090 Vienna, Austria.
Surg Endosc. 1996 Aug;10(8):813-5. doi: 10.1007/BF00189540.
Unroofing is the therapy of choice in patients with symptomatic, nonparasitic benign liver cysts-either solitary or diffuse. Techniques which require laparotomy, such as cystojejunostomy or pericystectomy, generally do not justify surgical morbidity in benign conditions.
We report the outcome of eight fenestration operations in seven patients with hepatic cysts in laparoscopic performance. Patients were reexamined after a mean follow-up period of 30 months.
All operations were finished without conversion. There were no perioperative complications. Only one patient had a recurrence and was successfully reoperated via laparoscopy including cholecystectomy without refilling of the cyst until reexamination.
Adoption of minimal access surgery in these patients occurred without loss of quality and offered the well-known benefits of laparoscopic surgery.
对于有症状的非寄生虫性良性肝囊肿患者，无论是单发还是多发，开窗术是首选的治疗方法。需要开腹的技术，如囊肿空肠吻合术或囊肿切除术，在良性疾病中通常不能证明手术并发症的合理性。
我们报告了7例肝囊肿患者行8例腹腔镜开窗手术的结果。平均随访30个月后对患者进行复查。
所有手术均顺利完成，未中转开腹。无围手术期并发症。仅1例患者复发，通过腹腔镜再次手术成功治疗，包括胆囊切除术，复查时囊肿未再充盈。
在这些患者中采用微创外科手术并未降低治疗质量，且具有腹腔镜手术的诸多优点。
