[Laparoscopic right hepatectomy--a case report].
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Biomedical subjects
Publications and source records attributed to Di-yu Huang.
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OBJECTIVE: To investigate the effect and safety of laparoscopic treatment in patients with esophageal hiatal hernia. METHODS: Eleven patients with esophageal hiatal hernia, 9 males and 2 females, with the mean age of 56, accepted laparoscopic treatment. Two cases were treated by hernia repair merely and 9 cases were treated by hernia repair and fundoplication (Nissen's operation) one of which accepted laparoscopic cholecystoectomy at the same time. RESULTS: All patients were treated successfully. The operation time was 2.5 hours (1.5 - 5 hours) and the blood loss was between 20 - 200 ml. The patients began to accept liquid diet 24 - 36 hours after operation. There was no postoperative complication and all the clinic symptoms disappeared. The mean hospitalization time was 8 days (6 - 15d). CONCLUSION: Laparoscopic treatment of esophageal hiatal hernia provides a safe and minimal invasive procedure.
OBJECTIVE: To report the first case of ciliated hepatic foregut cyst in China, and review of literature to introduce the characteristics of this disease for doctors to recognize this disease. METHOD: Report the clinical procedure of diagnosis and treatment for the first case of ciliated hepatic foregut cyst in China, and to review the embryologic genesis, incidence, clinical manifestation, radiologic features and therapeutic principle of this disease. RESULTS: We performed the resection for ciliated hepatic foregut cyst under laparoscopy; the patient recovered well after the procedure. CONCLUSION: Ciliated hepatic foregut cyst is quite rare clinically, belongs to non-parasitic, solitary and unilocular cystic lesion, is always less than 4 cm in diameter, mostly seen in the left lobe, and has the tendency of malignant change. It should be removed as soon as diagnosed.