腹腔镜开窗术治疗严重多囊肝合并巨大肝脓肿1例报告

于又曦; 于刚; 方喜洙; 张平

doi:10.3969/j.issn.1001-5256.2014.12.028

腹腔镜开窗术治疗严重多囊肝合并巨大肝脓肿1例报告

DOI: 10.3969/j.issn.1001-5256.2014.12.028

吉林大学第一医院肝胆胰外科

基金项目:

吉林省科技发展计划项目(20130727040YY)；

详细信息

中图分类号: R657.3
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出版历程
- 出版日期: 2014-12-20

Laparoscopic fenestration for treating severe polycystic liver disease complicated by giant liver abscess: a report of one case

Department of Hepato-Biliary-Pancreatic Surgery, The First Hospital of Jilin University

Research funding:

摘要

摘要: <正>严重多囊肝（severe polycystic liver disease,SPLD）是一种临床上少见的成人常染色体显性遗传疾病。SPLD的外科处理方法有肝部分切除和（或）囊肿开窗术、脓肿穿刺抽液+硬化剂注射以及肝移植[1]。肝脓肿是外科常见的严重感染性和消耗性疾病,病情危重且易发多种并发症。对肝脓肿的治疗,已经从单纯应用抗生素治疗和外科手术治疗转变为超声介入治疗[2]。但是,对于SPLD合并肝脓肿,尤其是巨大肝脓肿手术
- 肝脓肿 /
- 腹腔镜检查 /
- 病例报告
- liver abscess /
- laparoscopy /
- case reports

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参考文献(7)

[1]YANG GS, QIN JW, LU JH, et al.Surgical management of severe polycystic liver disease[J].Chin J Hepatobiliary Surg, 2000, 6 (6) :418-420. (in Chinese) 杨广顺, 秦建伟, 卢军华, 等.严重多囊肝的外科处理[J].中华肝胆外科杂志, 2000, 6 (6) :418-420.

[2]ALKOFER B, DUFAY C, PARIENTI JJ, et al.Are pyogenic liver abscesses still a surgical concern?A Western experience[J].HPB Surg, 2012, 2012:316013.

[3]LIAO W, CHANG ZH, LIU ZY.Percutaneous catheter drainage for liver abscess:twelve years'clinical experience[J].J Intervent Radiol, 2013, 22 (10) :843-847. (in Chinese) 廖伟, 畅智慧, 刘兆玉.经皮穿刺引流治疗肝脓肿12年临床经验[J].介入放射学杂志, 2013, 22 (10) :843-847.

[4]CHU KJ, FU XH, LU CD, et al.Surgical management for autosomal dominant polycystic liver disease and simple multiple liver cysts[J].J Hepatobiliary Surg, 2008, 20 (1) :25-28. (in Chinese) 储开建, 傅晓辉, 陆崇德, 等.遗传性多囊肝与单纯性肝脏多发囊肿的外科处理[J].肝胆胰外科杂志, 2008, 20 (1) :25-28.

[5]GARCEA G, RAJESH A, DENNISON AR.Surgical management of cystic lesions in the liver[J].ANZ J Surg, 2013, 83 (7-8) :e3-e20.

[6]CHEN W, ZHANG HB, FU Y, et al.Therapeutical effect of combined hepatic resection and fenestration on patients with severe adult polycyst liver disease[J].Chin J Hepatol, 2010, 18 (1) :41-44. (in Chinese) 陈威, 张海斌, 付雍, 等.肝部分切除联合囊肿广泛开窗术治疗严重成人多囊肝病的疗效及临床分型对其预后的影响[J].中华肝脏病杂志, 2010, 18 (1) :41-44.

[7]JIANG GQ, TAN JW, BO DS, et al.Clinical experiences of laparoscopic treatment for hepatic cyst (48 cases) [J].Int J Surg, 2011, 38 (4) :245-247. (in Chinese) 蒋国庆, 谈景旺, 柏斗胜, 等.腹腔镜治疗先天性肝囊肿48例的临床经验与分析[J].国际外科学杂志, 2011, 38 (4) :245-247.

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