Nari Gustavo, Ponce Omar, Cirami Marcelo, Jozami Jorge, Toblli Jorge, Eduardo Moreno, Fernando Moll
Servicio de Cirugía General y Gastroenterología, Sanatorio San Martin Santiago del Estero, Argentina.
Int Surg. 2003 Oct-Dec;88(4):194-8.
Liver hydatidosis is frequent in Santiago Del Estero. Different therapeutic procedures have been proposed, but surgery is still the best option. This observational retrospective analysis presents the authors' experience and results, with the goal of selecting the best surgical procedures. A total of 66 patients with 89 cysts were evaluated between December 1997 and 2002. Sex, age, cyst localization, complication of cysts, surgical procedure, associated procedures, morbidity and mortality, and hospital stay were evaluated. Of 89 cysts, 10 were complicated; of 66 patients, 59 had solitary cysts. Pericystectomy, Mabit procedure, liver resection, bipolar or tripolar drainage, and marsupialization were used. Morbidity was 22.72%, and mortality was 1.51%. The average hospital stay was 7.03 days. In the follow-up, 33 patients were evaluated, with only 1 recurrence. The results are similar to other published series. Complicated cysts have a more complex solution and evolution. Pericystectomy, Mabit procedure, and liver resections are the chosen surgical procedures in uncomplicated cysts. Laparoscopic surgery undoubtedly has a place in the treatment of liver hydatidosis.
肝包虫病在圣地亚哥 - 德尔埃斯特罗很常见。已经提出了不同的治疗方法，但手术仍然是最佳选择。本观察性回顾性分析展示了作者的经验和结果，目的是选择最佳手术方法。在1997年12月至2002年期间，共评估了66例患者的89个囊肿。评估了患者的性别、年龄、囊肿位置、囊肿并发症、手术方式、相关操作、发病率和死亡率以及住院时间。89个囊肿中，10个为复杂囊肿；66例患者中，59例有单个囊肿。采用了囊肿切除术、马比特手术、肝切除术、双极或三极引流以及袋形缝合术。发病率为22.72%，死亡率为1.51%。平均住院时间为7.03天。在随访中，对33例患者进行了评估，仅有1例复发。结果与其他已发表的系列相似。复杂囊肿的处理和演变更为复杂。囊肿切除术、马比特手术和肝切除术是单纯囊肿的首选手术方法。腹腔镜手术无疑在肝包虫病的治疗中占有一席之地。
