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[使用超声刀腹腔镜切除术中诊断的肝寄生虫囊肿]

[Laparoscopic resection of intraoperatively diagnosed parasitic cyst of the liver with the use of harmonic scalpel].

作者信息

Takács István, Szerafin Tamás, Kotán Róbert, Kovács Judit, Sápy Péter

机构信息

Debreceni Egyetem Orvos- és Egészségtudományi Centrum II. sz. Sebészeti Klinika.

出版信息

Magy Seb. 2004 Aug;57(4):219-23.

Abstract

Echinococcus granulosus is one of the most important parasitic infections in the Mediterranean countries, it presents in the form of cystic lesions of the liver. During their development the cysts may cause various symptoms due to compression. Rupture of the cysts may lead to anaphylactoid reactions and/or to acute abdomen. We operated on a patient with symptoms of cholelithiasis and cholecystitis; she underwent laparoscopic cholecystectomy, during which a cystic tumour in the liver was accidentally detected. Successful laparoscopic pericystectomy was performed with Harmonic Scalpel. We are sure that laparoscopic resection of hydatid cysts is a safe option for a number of patients in the treatment of parasitic cysts of the liver.

摘要

细粒棘球绦虫是地中海国家最重要的寄生虫感染之一,其表现为肝脏的囊性病变。在其发展过程中,囊肿可能因压迫而导致各种症状。囊肿破裂可能导致类过敏反应和/或急腹症。我们为一名有胆石症和胆囊炎症状的患者进行了手术;她接受了腹腔镜胆囊切除术,在此期间意外发现肝脏有一个囊性肿瘤。使用超声刀成功进行了腹腔镜囊肿切除术。我们确信,对于许多患有肝脏寄生虫囊肿的患者来说,腹腔镜切除包虫囊肿是一种安全的治疗选择。

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