腹腔镜治疗非寄生虫性脾囊肿3例附文献复习

目的:探讨腹腔镜治疗非寄生虫性脾囊肿的可行性.方法:2007年7月至2010年7月为3例脾囊肿患者行腹腔镜脾囊肿去顶减压术,用超声刀切开囊壁,完全暴露囊腔,在囊壁与正常脾脏组织交界0.5cm处切除囊壁,并直接取出.结果:3例均成功完成腹腔镜脾囊肿去顶减压术,无一例中转开放手术.手术时间分别为45min、30min、35...

Laparoscopic unroofing of nonparasitic splenic cysts: a report of three cases and literature review

Objective:To investigate the feasibility of laparoscopic unroofing for nonparasitic splenic cysts. Methods:Laparoscopic unroofing of nonparasitic splenic cysts was performed in 3 cases from Jul.2007 to Jul.2010.The cyst was opened and widely unroofed using ultrasonic scalpel and cystic fluid was sucked during the operation.Finally,the cystic wall was removed directly. Results:Laparoscopic unroofing of splenic cysts was successfully completed in all of the 3 cases without conversions to open surgery.In the 3 cases,the operation time was 45min,30min and 35min respectively,the blood loss during the operation was 40ml,20ml and 5ml respectively,all the patients were discharged from the hospital in 3 days.After the treatment,the three patients were followed up 3 years,6 months and 3 months respectively.All the cases were not found recurrence by B-ultrasound examination. Conclusions:Laparoscopic unroofing of splenic cysts with the advantage of quick recovery,is a simple,minimally invasive and feasible surgical method for the non-parasitic splenic cyst.