腹腔镜肝囊肿开窗术的临床疗效分析

目的总结腹腔镜治疗先天性肝囊肿的疗效。方法回顾性分析我院1999年1月至2006年8月开腹肝囊肿开窗术117例(开腹组)及同期腹腔镜肝囊肿开窗术52例(腔镜组)患者的临床资料。比较两组患者的手术时间、住院时间、术中出血量、胃肠道功能恢复、肝功能恢复及术后并发症。结果腔镜组患者的手术时间、住院时间、术中出血量、胃肠道功能恢复及肝功能恢复及与开腹组比较有显著差异(p<0.05),各项指标明显优于开腹组。而术后并发症两组无明显差异(p>0.05)。结论腹腔镜肝囊肿开窗术具有创伤小,术后恢复快,住院时间短等优点,是治疗先天性肝囊肿合理、有效的方法。

The Clinical Analysis of Laparoscopic Fenestration in Treatment of Congenital Hepatic Cyst

Objective To evaluate the effect of laparoscopic fenestration in the treatment of congenital hepatic cyst.Methods 117 patients received open surgery(open surgery group) and 52 patients received laparoscopic surgery(laparoscopic surgery group)in our hospital from Jan,1999 to Jul,2006 were reviewed retrospectively.The operation time,hospital stay,blood loss,the time of gastroenteric function,hepatic function and post-operative complications were compared to controls.Results In contrast with open surgery group,there were significantly influenced in shorter operation time,shorter hospital stay,less blood loss,the sooner recovery of gastroenteric function and hepatic function in laparoscopic group p<0.05=.The post-operative complications were not significantly influenced in open surgery group and laparoscopic group(p>0.05).Conclusion Laparoscopic fenestration in treatment of congenital hepatic cyst is of minor invasion,sooner recovery and shorter hospital stay.The procedure should be an effective and reasonable choice for the patients with congenital hepatic cyst.