肝嚢胞に対する腹腔鏡下開窓術施行例の検討 LAPAROSCOPIC FENESTRATION FOR LIVER CYSTS

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肝嚢胞の治療法として,従来開腹下手術や超音波ガイド下の硬化剤注入療法が行われていたが,腹腔鏡下手術の普及とともに腹腔鏡下の開窓術が施行されるようになってきた.<br> 今回,腹腔鏡下肝嚢胞開窓術を施行した4例の臨床経過を他の治療法と比較した.肝嚢胞の最大径は8~18cmで,単発2例,多発2例,自覚症状を3例に認めた.胆石の併存を2例に認め腹腔鏡下胆嚢摘出術を同時に施行した.術後合併症を認めず,術後10~42カ月の現在明らかな再発を認めていない.過去に経験した超音波ガイド下エタノール注入療法3例および開腹下肝嚢胞開窓術2例の入院期間は,各々22±10日, 16±3日であり,腹腔鏡下手術例の入院期間7±2日は他の2者に比べ短かった.エタノール注入例は全例に酩酊や疼痛を認めた.<br> 腹腔鏡下肝嚢胞開窓術は肝嚢胞に対する優れた治療法と考えられた.

Liver cysts have been treated by an operation under laparotomy or ultrasonography-guided alcohol sclerotherapy so far. With a recent wide-spread use of laparoscopic procedure, laparoscopic fenestration (LF) has been increasingly performed for liver cysts.<br> In this paper four cases of liver cysts treated with LF were studied to elucidate LF's characteristics by comparing with other procedures. Two patients had a simple cyst and two had multiple cysts. The size of cysts ranged from 8 to 18cm. Two of the four patients underwent simultaneous laparoscopic cholecystectomy for coexisted cholecystolithiasis. LF was performed safely without postoperative complication. No recurrences were found during a follow-up period of 10-42 months. The duration of hospital stay of patients treated by LF was 7±2 days, which was shorter than that of patients treated by ultrasonography-guided alcohol sclerotherapy (22±10 days) and by fenestration with laparotomy (16±3 days). Drunkenness and abdominal pain occured to all patients treated by alcohol sclerotherapy.<br> These results would indicate that LF appears to be a safe and useful method for liver cysts.

収録刊行物

  • 日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society

    日本臨床外科医学会雑誌 = The journal of the Japanese Practical Surgeon Society 58(1), 172-176, 1997-01-25

    Japan Surgical Association

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各種コード

  • NII論文ID(NAID)
    10008526413
  • NII書誌ID(NCID)
    AN00198696
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03869776
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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