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目的：探讨腹腔镜开窗引流治疗先天性肝囊肿的临床应用。方法总结2011年12月~2014年12月行腹腔镜肝囊肿开窗引流术30例患者的临床资料及治疗体会。结果30例患者顺利完成手术，无中转开腹。手术时间30~80 min，平均50 min。术后平均住院4.5 d，1例患者术后出现胆瘘，术后彩超引导下穿刺置管引流1个月后愈合，其他无并发症发生。结论腹腔镜开窗引流术治疗肝囊肿易于被患者接受，具有创伤小、恢复快等特点，且安全可行。“,”Objective To explore the clinical experience of laparoscopic fenestration and drainage for hepatic cysts.Methods From December 2011 to December 2014,the clinical data and experience of 30 patients with hepatic cysts underwent laparoscopic fenestration and drainage were analyzed retrospectively.Results The operation procedures were completed successfully in all the patients,without conversion to open abdominal operation.The duration of operation was 30-80 minutes,averaged 50 minutes.The mean postoperative hospital stay was 4.5d.One patient suffered from postoperative bile leakage and cured by color-ultrasound guided percutaneous catheter drainage after 1month,no other complications occurred.Conclusion Laparoscopic fenestration and drainage for hepatic cysts with less injury and rapid recovery was feasible and effective,and was easily received by patients,which has valuable in the clinical application.