Köckerling F, Schneider C, Reck T, Scheuerlein H, Hohenberger W
Chirurgische Klinik mit Poliklinik, Universität Erlangen-Nürnberg.
Zentralbl Chir. 1997;122(12):1145-9.
Cysts of the liver may be parasitic or non-parasitic, the non-parasitic cysts being further subdivided into neoplastic, inflammatory, post-traumatic and congenital. Symptomatic congenital solitary cysts represent a good indication for laparoscopic treatment. During the therapeutic procedure, the roof of the cyst is fenestrated or removed such that at least one-third of the circumference of the cyst is removed, which is best done using a harmonic scalpel. In order to prevent a recurrence, it is recommended that a portion of the greater omentum be placed in the floor of the cyst, thus filling the cystic cavity.
肝脏囊肿可分为寄生虫性或非寄生虫性，非寄生虫性囊肿又进一步细分为肿瘤性、炎症性、创伤后和先天性。有症状的先天性孤立性囊肿是腹腔镜治疗的良好指征。在治疗过程中，囊肿顶部被开窗或切除，使囊肿至少三分之一的周长被切除，这最好使用超声刀来完成。为防止复发，建议将一部分大网膜置于囊肿底部，从而填充囊腔。
