腹腔镜手术治疗肝脓肿的应用体会

目的:探讨腹腔镜肝脓肿置管引流术及腹腔镜肝脓肿切开引流术的适应证、手术方法和临床应用.方法:回顾分析2000年1月至2010年6月为63例肝脓肿患者施行腹腔镜手术的临床资料,其中34例行腹腔镜肝脓肿置管引流术,29例行腹腔镜肝脓肿切开引流术.结果:63例均在腹腔镜下完成,无一例中转开腹.腹腔镜肝脓肿置管引流术手术时间平...

Clinical application of laparoscopic surgery in the treatment of liver abscess

Objective：To investigate the indications,surgical method and clinical application of laparoscopic liver abscess catheter drainage and laparoscopic liver abscess incision and drainage. Methods：The clinical data of 63 patients with liver abscess who underwent laparoscopic surgery from Jan.2000 to Jun.2010 were retrospectively analyzed.34 patients underwent laparoscopic liver abscess catheter drainage and 29 patients underwent laparoscopic liver abscess incision and drainage. Results：All laparoscopic operations were successful,no one was transferred to open operation.The average operative time of laparoscopic liver abscess catheter drainage was 35min,65min for laparoscopic liver abscess incision and drainage.Laparoscopic cholecystectomy and common bile duct exploration and drainage were applied in 15 cases.Mean postoperative hospital stay was 13d.Inadequate drainage was found in 2 patients,who were cured by B-ultrasound guided puncture after removal of the drainage tube.Postoperative residual bile duct calculus occurred in 2 cases,and was removed by choledochoscopy through sinus.49 cases were followed up for 3 months to 3 years.3 cases relapsed in two years,2 cases of which were the left hepatic duct stricture and infection,and healed after open left hepatectomy;1 case was caused by diabetes and recovered after laparoscopic catheter drainage. Conclusions：Laparoscopic surgical treatment of liver abscess has advantages of easy operation,small trauma and fast recovery,is the ideal surgical treatment of liver abscess.