Reoperation for patients with postoperative recurrent simple hepatic cysts
10.3760/cma.j.issn.1007-8118.2018.03.004
- VernacularTitle:单纯性肝囊肿术后复发患者的再手术治疗
- Author:
Jianguang JIN
1
;
Yuan-Pu MENG
Author Information
1. 河南科技大学第一附属医院肝胆外科
- Keywords:
Hepatic cyst;
Recurrence;
Operation;
Deroofing;
Fixation
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(3):155-157
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the efficacy of the deroofing-fixation operation for postoperative recurrent simple hepatic cysts (RSHC).Methods 21 patients who developed postoperative RSHC underwent the deroofing-fixation operation at the First Affiliated Hospital,Henan University of Science & Technology from August 2012 to August 2016.The data were analyzed retrospectively.Results The recurrent sites varied and included S6,7 (n=9),S7 (n=5),S8 (n=3) and S7,8 (n=4).The first operations for all these patients were either laparoscopic fenestration or windowing decompression.The recurrence time ranged from 4 to 13 months (average 6 months) after the first operation.All these patients were reoperated using the deroofing-fixation method,i.e.taparotomy,cyst deroofing and cyst edge fixation to the right hepatorenal ligament (n =9),or to the hepatic falciform ligament (n =12).All these patients were followed up for 11 to 60 months after the reoperation,and no recurrence was found.Conclusion The deroofing-fixation is an efficacious operation for post-operative RSHC.
