<総説>先天性肝嚢胞, 最近の本邦報告例についての考察

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A total of 318 patients with congenital liver cysts in the Japanese literature since 1980 including our 5 cases was reviewed. The age ranged from 5 months to 88 years, with an average of males of 55.1 and females of 59.1 and with male-to-female ratio of 1 : 3.1. Findings suspected of the disease were prevalent in females in the fifth to seventh decades of the age. Hepatomegaly and/or abdominal mass were noted in 45% of the patients and abdominal pain were in 37%. The diagnosis of liver cysts was established virtually in all the patients mainly by utilizing imaging modalities. Solitary cyst was noted in 144 patients and multiple cysts were found in 174. Among the types of localization of multiple cysts, 29 patients showed the localized type, 24 showed the scattered type and 121 showed the diffuse type. Among the treatments for liver cysts, 23 patients underwent hepatectomy with partial resection to extended lobectomy and for 60 patients complete removal of the cysts was carried out. The drainage operation of deroofing or fenestration was performed in 67 patients. Eight patients underwent aspiration of the cyst and instillation of ethanol. The prognosis was recorded in 122 patients with 3% mortality and 2% morbidity. Although adequate treatments of congenital liver cysts in consideration of the status and location of cysts show successful results, long-term follow-up may be necessary in the patients undergoing the treatments of cysts leaving in situ.
近畿大学の論文
1986-09-25

<総説>先天性肝嚢胞, 最近の本邦報告例についての考察

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