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腹腔镜下切除肝包虫13例
引用本文:李荣梓,柴福录,肖毅,李红梅,史建华.腹腔镜下切除肝包虫13例[J].解放军医学高等专科学校学报,2010(1):37-38.
作者姓名:李荣梓  柴福录  肖毅  李红梅  史建华
作者单位:解放军兰州军区兰州总医院肝胆外科,甘肃兰州730050
摘    要:目的总结腹腔镜下肝包虫切除术的经验,探讨其安全性及其可行性。方法回顾性分析我院13例肝包虫腹腔镜下切除术的临床资料,其中8例行腹腔镜下肝包虫外囊切除,5例行肝部分切除术。结果本组病例均在腹腔镜下完成手术治疗,平均手术时间约90min,平均出血量约350ml,术后第2天均下地活动,并进流质饮食,术后平均住院时间5d,术后无胆漏、出血,无复发及腹腔种植。结论腹腔镜下切除肝包虫安全可行,效果优于内囊摘除加残腔处理。

关 键 词:腹腔镜  肝包虫囊肿切除术  肝部分切除术

The Application of Laparoscopic Techniques in Treatment of Hepatic Hydatid Cysts
Li Rong-zi,Chai Fu-lu,Xiao Yi,Li Hong-mei,Shi Jian-hua.The Application of Laparoscopic Techniques in Treatment of Hepatic Hydatid Cysts[J].Clinical Journal of Medical Officer,2010(1):37-38.
Authors:Li Rong-zi  Chai Fu-lu  Xiao Yi  Li Hong-mei  Shi Jian-hua
Institution:( Department of Hepatarbillary Surgery, Lanzhou General Hospital of Lanzhou Military Region, PLA, Lanzhou 730050, China)
Abstract:Objective To summarize the clinical experience of laparoscopic treatment of hepatic hydatid cyst,investigate the safety and feasibility of the treatment. Methods Theclinical data of 17 patients ( male 7, female 10) with hepatic marginal hydalid cysts who received laparoscopic extraction were analyzed retrospectively. Results All of the cases were cured. The mortality in our study was zero. The average operation time was 50 minutes,the average blood loss was 120ml, and hospitalized time was 6 days. And there was one case recurrence and no abdominal cavity planter. Conclusion Laparoscopic treatment of hepatic hydatid is a safe and feasible procedure, but the selection of indication should be strict.
Keywords:laparoscopy  excision of hydatid cyst of liver  partial hepatectomy
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