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应用腹腔镜治疗肝包虫病临床经验与体会(附120例报告)
引用本文:谢金敏,高毅,师龙生,唐增杰.应用腹腔镜治疗肝包虫病临床经验与体会(附120例报告)[J].第一军医大学学报,2003,23(12):1349-1351.
作者姓名:谢金敏  高毅  师龙生  唐增杰
作者单位:[1]第一军医大学珠江医院肝胆外科,广东广州510282 [2]解放军第474医院普外科,新疆乌鲁木齐830011
摘    要:目的 总结腹腔镜治疗肝包虫病的临床经验。方法 对120例腹腔镜肝包虫内囊摘除术患者进行回顾性的分析。结果 手术均获成功,未发生肝包虫囊液溢出、过敏性休克,无手术死亡,4例术后复发(非原发部位),8例术后胆漏,8例残腔积液,1例术后出血,均获治愈。结论 腹腔镜肝包虫内囊摘除术是治疗肝包虫病安全、有效的微创方法。

关 键 词:腹腔镜  手术治疗  肝包虫病  临床经验  内囊摘除术

Experience with laparoscopic treatment of hepatic hydatid cysts]
Jin-min Xie,Yi Gao,Long-sheng Shi,Zeng-jie Tang.Experience with laparoscopic treatment of hepatic hydatid cysts][J].Journal of First Military Medical University,2003,23(12):1349-1351.
Authors:Jin-min Xie  Yi Gao  Long-sheng Shi  Zeng-jie Tang
Institution:Department of Hepatobiliary Surgery, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, China. xjm19721@sina.com
Abstract:OBJECTIVE: To summarize our experience with laparoscopic treatment of hepatic hydatid cysts. METHODS: A total of 120 patients with hepatic hydatid cysts who received laparoscopic treatment were retrospectively analyzed. RESULTS: The procedure was successful in all cases with no intraoperative rupture of the cysts or occurrence of anaphylactic shock. Among these patients, biliary fistula occurred in 8 cases, residual cavity effusion in 8, recurrence at other sites in 4, and postoperative bleeding in 1 case, but all cases were cured without mortality. CONCLUSION: Laparoscopic treatment is safe and effective for hepatic hydatid cysts.
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