Bülbüller Nurullah, Ilhan Yavuz Selim, Kirkil Cüneyt, Yeniçerioğlu Akan, Ayten Refik, Cetinkaya Ziya
Department of General Surgery, Firat University, School of Medicine, Elaziğ, Turkey.
Turk J Gastroenterol. 2006 Dec;17(4):273-8.
BACKGROUND/AIMS: Hydatid cyst remains an important public health problem in endemic areas.
This study retrospectively reviewed medical records of 63 patients treated for hepatic cyst hydatidosis in Frat University, Medical School, Department of General Surgery between January 1994 and December 2002.
There were 96 cysts in total in 63 patients, with 67 (69%) of them located in the right lobe of the liver. Of 96 hepatic cysts, 41 (45%) were treated with partial cystectomy and drainage, 25 (26%) with partial cystectomy and capitonnage and 15 (15%) with partial cystectomy and omentoplasty. Thirty-two patients (51%) received treatment with albendazole while 31 (49%) received no medical therapy. The postoperative complication rate was 19% and there was no significant difference in the early post-operative complications between surgical procedures (p>0.05). Cysts recurred in 6 patients (11%) and no correlation was found between recurrence of cysts and albendazole use, type of surgical procedure, number and size of the cysts, Gharbi classification as determined by ultrasound examination or the relation of the cyst with the biliary tract (p>0.05).
It was concluded that there was no significant difference in the rates of complications and recurrences among different surgical procedures when performed with basic rules of the surgical principles.
背景/目的：在流行地区，包虫囊肿仍然是一个重要的公共卫生问题。
本研究回顾性分析了1994年1月至2002年12月间在弗拉特大学医学院普通外科接受肝包虫病治疗的63例患者的病历。
63例患者共有96个囊肿，其中67个（69%）位于肝右叶。在96个肝囊肿中，41个（45%）接受了囊肿部分切除术和引流术，25个（26%）接受了囊肿部分切除术和袋形缝合术，15个（15%）接受了囊肿部分切除术和网膜成形术。32例患者（51%）接受了阿苯达唑治疗，31例（49%）未接受药物治疗。术后并发症发生率为19%，不同手术方式的术后早期并发症无显著差异（p>0.05）。6例患者（11%）囊肿复发，囊肿复发与阿苯达唑使用、手术方式、囊肿数量和大小、超声检查确定的加尔比分类或囊肿与胆道的关系之间均无相关性（p>0.05）。
得出的结论是，当按照手术原则的基本规则进行不同手术时，并发症发生率和复发率无显著差异。
