[1]刘吉平* 张国胜 高志伟.腹腔镜带蒂大网膜填塞术治疗直径>10 cm肝囊肿36例[J].中国微创外科杂志,2015,15(7):632-634.
　Liu Jiping,Zhang Guosheng,Gao Zhiwei..Laparoscopic Filling with Pedicled Greater Retina for Hepatic Cysts Bigger Than 10 cm in Diameter: a Report of 36 Cases[J].Chinese Journal of Minimally Invasive Surgery,2015,15(7):632-634.
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腹腔镜带蒂大网膜填塞术治疗直径>10 cm肝囊肿36例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年7期
页码:
632-634
栏目:
临床研究
出版日期:
2015-07-20

文章信息/Info

Title:
Laparoscopic Filling with Pedicled Greater Retina for Hepatic Cysts Bigger Than 10 cm in Diameter: a Report of 36 Cases
作者:
刘吉平* 张国胜 高志伟
（河北省秦皇岛市抚宁县人民医院微创外科，秦皇岛066300）
Author(s):
Liu Jiping;  Zhang Guosheng;  Gao Zhiwei.
Funing People’s Hospital of Hebei Province, Qinhuangdao 066300, China
关键词:
腹腔镜; 肝囊肿; 带蒂大网膜; 填塞术
Keywords:
Laparoscopic; Hepatic cyst; Pedicled greater retina; Filling
分类号:
R735.7
文献标志码:
A
摘要:
目的探讨腹腔镜带蒂大网膜填塞术治疗肝囊肿的效果。方法2010年1月~2014年5月，采用腹腔镜带蒂大网膜填塞术治疗肝囊肿36例，囊肿直径10~26 cm，其中直径≤20 cm 29例，>20 cm 7例。腹腔镜下肝囊肿开窗引流，碘酒及无水酒精涂擦烧灼破坏囊壁细胞，取带蒂大网膜填塞囊腔。结果手术均顺利完成，手术时间45~115 min，（80.4±13.1）min，无腹腔感染，腹部切口均一期愈合。住院时间5~10 d，（6.4±1.2）d。术后随访时间6~12个月，（9.3±1.5）月，复查肝脏B超或CT，均未见复发。结论腹腔镜带蒂大网膜填塞术治疗肝囊肿具有创伤小、恢复快、住院时间短、效果好等优点。
Abstract:
ObjectiveTo evaluate the effects of laparoscopic filling with pedicled greater retina for hepatic cysts.MethodsClinical data were reviewed on 36 patients with hepatic cysts undergoing laparoscopic filling with pedicled greater retina from January 2010 to May 2014. The diameters of cysts ranged from 10 to 26 cm, with a diameter smaller than 20 cm in 29 patients and bigger than 20 cm in 7 patients. Laparoscopic fenestration of hepatic cysts was performed to destroy cyst cells with iodine and absolute alcohol. Pedicled greater retina was used for filling the cavity of cysts.ResultsThe procedures were completed smoothly. The operative time was 45-115 min, with an average of (80.4±13.1) min. No abdominal cavity infection happened. Primary healing of abdominal incision was achieved in all the patients. The postoperative hospital stay was 5-10 d, with an average of (6.4±1.2) d. All the 36 patients were followed up for 6-12 months with a mean of (9.3±1.5) months. None of the patients showed recurrence under liver Bultrasonography or CT scanning.ConclusionLaparoscopic filling with pedicled greater retina for hepatic cysts has advantages of minimal invasion, quick postoperative recovery, short hospital stay, and good results.

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备注/Memo:
*通讯作者，Email：tiger120007@sina.com
更新日期/Last Update: 2016-01-04