[摘要] 目的：探讨腹腔镜在肝囊肿手术中的应用价值。方法：回顾性分析2004年4月～2008年6月12例腹腔镜肝囊肿开窗术患者的临床资料，其中，单发肝囊肿7例，多发肝囊肿5例。结果：11例患者成功行腹腔镜肝囊肿开窗术，手术时间30～100 min，平均55 min，平均住院6.5 d；术后随访时间为6～12个月，复发2例，均为多囊肝患者；术中因血管损伤中转开腹1例。结论：腹腔镜肝囊肿开窗术具有创伤小、痛苦轻、恢复快的特点，是治疗肝囊肿合理、有效的方法。
[关键词] 腹腔镜；肝囊肿；开窗术
[中图分类号] R657.3[文献标识码]C[文章编号]1673-7210（2009）05（c）-159-02
Laparoscopic fenestration of 12 cases of hepatic cyst Report
WANG Yuwen, WU Wei, LI Zhixiang, XU Zhengguang
(Department of Hepato-Biliary Surgery, the Sixth People's Hospital of Shenyang, Shenyang110006, China)
[Abstract] Objective: To evaluate the clinical effect of laparoscopic fenestration of hepatic cyst. Methods: From April 2004 to June 2008, 12 cases with hepatic cyst received laparoscopic fenestration were analyzed retrospectively, with 7 of solitary cyst and 5 of multiple cysts. Results: The procedure was successfully performed in 11 cases，the duration of operation was 30-100 min, 55 min on average; average length of postoperative hospitalization was 6.5 days; 2 cases were found to recurrence after 6-12 months follow-up; 1 case was conversed to open abdominal operation for the vascular injury.Conclusion: Laparoscopic fenestration in treatment of hepatic cyst is of minor invasion，slight pain and fast recovery. The procedure could be an effective and reasonable choice for hepatic cyst.
[Key words] Laparoscope; Hepatic cyst; Fenestration
1991年，Paterson等报道了首例成功的肝多发囊肿行腹腔镜下开窗引流术。（剩余2521字）