Grigoroiu Mădălina, Stănescu C, Merlusca G, Popescu I
Centrul de Chirurgie Generală şi Transplant Hepatic, Institutul Clinic Fundeni, Bucureşti.
Chirurgia (Bucur). 2006 Jan-Feb;101(1):73-9.
The most frequent association of hydatic disease lesions is hepatic and pulmonary localisations. It is generally admitted that surgical treatment is the only effectiveness treatment in hydatidosis. The classic approach is the two-stage surgical interventions of pulmonary and liver localisation or one-stage extensive thoraco-phrenic-laparotomy, exclusively reserved to right pulmonary hydatic cysts associated with hepatic dome localisations. The study presents single-stage operation by thoracotomy or mini-invasive thoracic surgery and laparotomy or laparoscopy, or single-stage thoracic approach, as alternative of classic attitude and evaluates the results in 10 patients with synchronous pulmonary and liver hydatic cysts. Overall observations are-encouraging.
包虫病病变最常见的关联部位是肝脏和肺部。一般认为手术治疗是包虫病唯一有效的治疗方法。经典方法是针对肺部和肝脏病变的两阶段手术干预，或仅适用于与肝顶部病变相关的右肺包虫囊肿的一期广泛胸-膈-剖腹手术。该研究提出通过开胸手术或微创胸外科手术以及剖腹手术或腹腔镜手术进行单阶段手术，或单阶段胸部手术，作为经典治疗方式的替代方法，并评估了10例同时患有肺和肝脏包虫囊肿患者的治疗结果。总体观察结果令人鼓舞。
