Celebi Fehmi, Balik Ahmet A, Salman A Bedii, Oren Durkaya
Department of General Surgery, Atatürk University School of Medicine, Erzurum, Turkey.
Pediatr Surg Int. 2002 Sep;18(5-6):417-9. doi: 10.1007/s00383-002-0847-7. Epub 2002 Jul 17.
To review the results of different modalities of treatment of hydatid disease of the liver (HDL) in pediatric patients, 31 children treated surgically between 1990 and 2000 at the departments of general surgery and pediatric surgery, Atatürk University School of Medicine, were reviewed retrospectively; 19 were male and 12 were female. The mean age was 8.4 years (range 4-12 years). The most common complaints were an abdominal mass and right-upper-quadrant pain, which were present in 35.5% and 77.4% of cases, respectively. Twenty-five cysts were in the right lobe, 2 in the left lobe, and 4 in both lobes; 8 patients had multiple hepatic cysts and 5 had coexisting cysts in other organs. Surgical procedures were: unroofing plus tube drainage (UTD); capitonnage; omentoplasty; and pericystectomy. Of the patients treated by UTD, 2 developed cholangitis and 1 developed a biliary fistula. Of the patients with capitonnage, 1 developed cholangitis. Surgery is still one of treatment modalities for management of HDL. Omentoplasty and capitonnage are the most effective modalities for the management of the cyst cavity.
为回顾小儿肝包虫病（HDL）不同治疗方式的结果，对1990年至2000年间在阿塔图尔克大学医学院普通外科和小儿外科接受手术治疗的31例儿童进行了回顾性研究；其中男性19例，女性12例。平均年龄为8.4岁（范围4 - 12岁）。最常见的症状是腹部肿块和右上腹疼痛，分别出现在35.5%和77.4%的病例中。25个囊肿位于右叶，2个位于左叶，4个位于两叶；8例患者有多个肝囊肿，5例在其他器官有并存囊肿。手术方式有：囊肿开窗加置管引流（UTD）；内囊摘除术；大网膜填塞术；囊肿切除术。接受UTD治疗的患者中，2例发生胆管炎，1例发生胆瘘。接受内囊摘除术的患者中，1例发生胆管炎。手术仍是HDL治疗方式之一。大网膜填塞术和内囊摘除术是处理囊肿腔最有效的方式。
