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題名 | Laparoscopic Unroofing of Hepatic Cysts with Intraperitoneal Drainage: A Report of Three Cases=以腹腔鏡進行腹腔內引流術治療肝臟囊腫:3病例報告 |
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作者 | 陳福祥; 王苑貞; 石宜銘; 張扶陽; 李壽東; Chen, Fu-hsiang; Wang, Yuan-jen; Shyr, Yi-ming; Chang, Full-young; Lee, Shou-dong; |
期刊 | 中華醫學雜誌 |
出版日期 | 19991100 |
卷期 | 62:11 1999.11[民88.11] |
頁次 | 頁823-827 |
分類號 | 416.246 |
語文 | eng |
關鍵詞 | 肝臟囊腫; 腹腔鏡治療術; Hepatic cyst; Laparoscopic unroofing; |
中文摘要 | 肝臟囊腫在臨床上並不罕見,且經常是無症狀的。但是,大的肝臟囊腫偶而會造成一些臨床症狀,如腹脹、腹部悶痛及嘔吐等。治療有症狀的肝臟囊腫的方法包括經皮抽吸術及外科手術2種。然而,經皮抽吸術經常有較高的復發率,因而無法給予徹底的治療。近來,以腹腔鏡治療某些肝臟囊腫病人已日漸普及。這種方法不僅可縮短病人的住院天數、減輕疼痛及減少併發症的發生,且能降低囊腫的復發率。我們報告3個成功地以腹腔鏡進行腹腔內引流術治療有症狀之肝臟囊腫的病例。 |
英文摘要 | Hepatic cysts are not uncommon and are usually asymptomatic, while large cysts sometimes show clinical manifestations. The management of large symptomatic hepatic cysts includes both percutaneous aspiration and surgical intervention. Aspiration has a high recurrence rate and is not a curative treatment. Recently, laparoscopic unroofing or "fenestration" in selected patients with hepatic cysts has gained popularity, for it shortens hospital stay, involves minimal invasiveness and does not result in a high recurrence rate. We report three cases of symptomatic hepatic cysts sucessfully treated with laparoscopic surgery. |
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