간내 낭종성 질환의 수술방법에 따른 결과 비교
Results from the Types of Surgical Treatment for Hepatic Cyst
문덕복, 하태용, 김성철, 주선형, 전장용, 이승규, 주종우, 양현승, 오기봉, 조성훈, 이영주, 황신, 박광민, 김기훈, 안철수,
소속 상세정보
문덕복 ( Moon Deok-Bog )
울산대학교 의과대학 서울아산병원 외과학교실
하태용 ( Ha Tae-Yong )
울산대학교 의과대학 서울아산병원 외과학교실
김성철 ( Kim Seong-Chul )
울산대학교 의과대학 서울아산병원 외과학교실
주선형 ( Joo Sun-Hyung )
울산대학교 의과대학 서울아산병원 외과학교실
전장용 ( Jun Jang-Yong )
울산대학교 의과대학 서울아산병원 외과학교실
이승규 ( Lee Sung-Gyu )
울산대학교 의과대학 서울아산병원 외과학교실
주종우 ( Chu Chong-Woo )
울산대학교 의과대학 서울아산병원 외과학교실
양현승 ( Yang Hyung-Seung )
울산대학교 의과대학 서울아산병원 외과학교실
오기봉 ( Oh Ki-Bong )
울산대학교 의과대학 서울아산병원 외과학교실
조성훈 ( Cho Sung-Hoon )
울산대학교 의과대학 서울아산병원 외과학교실
이영주 ( Lee Young-Joo )
울산대학교 의과대학 서울아산병원 외과학교실
황신 ( Hwang Shin )
울산대학교 의과대학 서울아산병원 외과학교실
박광민 ( Park Kwang-Min )
울산대학교 의과대학 서울아산병원 외과학교실
김기훈 ( Kim Ki-Hun )
울산대학교 의과대학 서울아산병원 외과학교실
안철수 ( Ahn Chul-Soo )
울산대학교 의과대학 서울아산병원 외과학교실
KMID : 0371320030640020153
Abstract
Purpose: Symptomatic and/or malignant changes in hepatic cysts require surgical treatment, but there are few comparative studies with respect to the safety and long-term effectiveness. We compared the resection and non-resection of hepatic cysts from the view point of recurrence and complications.
Methods: We reviewed 24 patients who underwent surgery for hepatic cysts between 1990 and 2001 at a single institution. There included 15 resections and 9 non-resections.
Results: The median age was 59 years, with a male to female sex ratio of 9：15. The median size of the dominant cyst was 12 cm, and 22 patients presented with symptoms. We treated 12 simple cysts, 3 polycystic liver diseases (PCLD), 3 cystadenomas, 1 cystadenocarcinoma, 2 hamartomas, 1 hydatid cyst, 1 traumatic cyst and 1 other. The causes requiring an operation were peritoneal irritation in 7, a mass effect such as early satiety or jaundice in 5, possible malignancy in 4, associated hepatobiliary diseases in 3, increase of cyst sizes in 2 and another disease in 2. We performed 5 right lobectomies, 2 left lobectomies, 1 left lateral segmentectomy, 3 non-anatomical resections, 3 cyst excisions, and 1 total hepatectomy for liver transplantation in the resection group. 6 unroofings and 3 fenestrations were performed in the non-resection group, in which a laparoscopic approach was applied in 3 cases. The incidence of postoperative complications were uncommon in both groups, whereas resection decreased the recurrence rate significantly (P=0.003).
Conclusion: Resection is a safe and effective procedure to lower the recurrence of all cystic lesions in the liver.
키워드
간낭종;절제;비절제;재발;합병증
Hepatic cyst;Resection;Non-resection;Recurrence;Complication
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