腹腔镜治疗肝包虫病的方法。
Laparoscopic approach to hepatic hydatid disease.
作者信息
Ertem M, Uras C, Karahasanoglu T, Erguney S, Alemdaroglu K
机构信息
Departments of Surgery, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey.
出版信息
Dig Surg. 1998;15(4):333-6. doi: 10.1159/000018648.
BACKGROUND
The aim of this paper is to present our brief experience on laparoscopic hydatid cyst surgery; we estimated the reproducibility of used techniques in conventional surgery with this relatively recent and attractive method.
METHODS
Fifteen cysts in 12 selected hydatid disease patients were treated laparoscopically. Cystotomy, partial cystectomy and drainage were performed in 9 patients. Omentoplasty was added to the procedure in the remaining 3 cases.
RESULTS
The mean postoperative hospital stay was 4.9 days. There was no mortality, and 1 patient developed bile leakage. Mean follow-up is 18 months. No recurrence was observed during this period.
CONCLUSION
We suggest that laparoscopic treatment of hydatid disease is feasible in selected patients respecting the principles of open surgery and seems beneficial concerning postoperative comfort, hospital stay and return to daily activities.
背景
本文旨在介绍我们在腹腔镜下包虫囊肿手术方面的简要经验；我们用这种相对新颖且有吸引力的方法评估了常规手术中所用技术的可重复性。
方法
对12例选定的包虫病患者的15个囊肿进行了腹腔镜治疗。9例患者进行了囊肿切开术、部分囊肿切除术和引流术。其余3例患者在手术中增加了网膜成形术。
结果
术后平均住院时间为4.9天。无死亡病例，1例患者发生胆漏。平均随访18个月。在此期间未观察到复发。
结论
我们认为，在遵循开放手术原则的前提下，腹腔镜治疗包虫病对选定患者是可行的，并且在术后舒适度、住院时间和恢复日常活动方面似乎有益。
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