CAJ | 학술논문

目的：探讨腹腔镜肝囊(脓)肿开窗引流术治疗肝囊(脓)肿的优点。方法：收治应用腹腔镜行肝囊(脓)肿开窗引流术患者30例，单发囊(脓)肿13例，多发17例。术前均CT或MR确诊、定位，并排除肝包虫病。应用腹腔镜肝囊(脓)肿开窗引流术进行治疗，分析其临床治疗效果。结果：30例手术均成功，手术时间40～90分钟，平均60分钟。术后24小时均能下床活动。术后48～72小时腹腔引流管无胆汁流出拔除，术后4～7天出院，术后平均住院5天。5例患者同时行腹腔镜胆囊切除术，3例同时行腹腔镜阑尾切除术。术后病理检查均符合肝囊(脓)肿诊断。结论：腹腔镜肝囊(脓)肿开窗引流术具有痛苦小、恢复快等优势，可同时治疗并存的腹部疾病。
목적：탐토복강경간낭(농)종개창인류술치료간낭(농)종적우점。방법：수치응용복강경행간낭(농)종개창인류술환자30례，단발낭(농)종13례，다발17례。술전균CT혹MR학진、정위，병배제간포충병。응용복강경간낭(농)종개창인류술진행치료，분석기림상치료효과。결과：30례수술균성공，수술시간40～90분종，평균60분종。술후24소시균능하상활동。술후48～72소시복강인류관무담즙류출발제，술후4～7천출원，술후평균주원5천。5례환자동시행복강경담낭절제술，3례동시행복강경란미절제술。술후병리검사균부합간낭(농)종진단。결론：복강경간낭(농)종개창인류술구유통고소、회복쾌등우세，가동시치료병존적복부질병。
Objective:To explore the advantages of laparoscopic liver cyst(abscess) fenestration and drainage in the treatment of liver cyst(abscess).Methods:30 patients treated with laparoscopic liver cyst(abscess) fenestration and drainage were selected,13 cases were solitary,17 cases were multiple.Before operation,all patients were diagnosed and located by CT or MR,and hepatic hydatid disease were excluded.All patients were treated with laparoscopic liver cyst(abscess) fenestration and drainage,the clinical therapeutic effect was analyzed.Results:30 cases of operation were all successful,operation time was 40 to 90 minutes,the average was 60 minutes.At 24 hours after operation,all patients were able to ambulate.At 48 to 72 hours after operation,abdominal drainage tube was removed because there was no bile.Patients were discharged from the hospital at 4 to 7 days after operation, average hospitalization time was 5 days.5 cases synchronously underwent laparoscopic cholecystectomy,3 cases synchronously underwent laparoscopic appendectomy.After the operation,pathological examination were consistent with liver cyst(abscess) diagnosis.Conclusion:Laparoscopic liver cyst(abscess) fenestration and drainage has many advantages,such as less pain and faster recovery.It can also treat cofigurative abdominal diseases.