Sakhri J, Ben Ali A
Service de chirurgie générale et digestive, Unité de recherche en chirurgie UR/17/02, CHU Farhat Hached, 24 Avenue Haffouze, 4000 Sousse, Tunisia.
J Chir (Paris). 2004 Nov;141(6):381-9. doi: 10.1016/s0021-7697(04)95364-1.
Hydatid cyst of the liver is a parasitic disease caused by Echinococcus granulosus. The principal complications are infection, biliary duct fistula, and rupture into the peritoneum or chest. Diagnosis has become easier with advances in ultrasonic imaging and CT scanning. Surgery remains the most effective treatment but postoperative complications arise in 30% of cases, particularly when the surgical approach is conservative. Radical surgical approaches give better results and should be used in most cases. Biliocutaneous fistula and infection of the residual cavity are the most common postoperative complications and result in prolonged hospitalization and excess costs. New therapeutic strategies incorporate endoscopic, percutaneous, and medical therapies with surgery and have allowed an improvement in morbidity and mortality due to hydatid cysts of the liver. Until immunization becomes a possibility, preventive measures are necessary to avoid disease recurrence.
肝包虫囊肿是一种由细粒棘球绦虫引起的寄生虫病。主要并发症为感染、胆管瘘以及破裂进入腹膜或胸腔。随着超声成像和CT扫描技术的进步，诊断变得更加容易。手术仍然是最有效的治疗方法，但30%的病例会出现术后并发症，尤其是当手术方式较为保守时。根治性手术方法效果更好，大多数情况下都应采用。胆皮瘘和残腔感染是最常见的术后并发症，会导致住院时间延长和费用增加。新的治疗策略将内镜、经皮和药物治疗与手术相结合，使肝包虫囊肿导致的发病率和死亡率有所改善。在免疫接种成为可能之前，必须采取预防措施以避免疾病复发。
