Spallitta Salvatore Ivan, Branca Massimo, Airò-Farulla Marco, Gambino Giovanni, Guccione Marzio, Nicòli Nicola
U.O. di Chirurgia Generale I, Azienda Ospedaliera V Cervello, Palermo.
Chir Ital. 2008 Sep-Oct;60(5):725-32.
We performed a subtotal cystectomy on the second and third hepatic segments, with the aid of a radiofrequency dissector device (Ligasure), together with removal of daughter cysts from the peritoneal cavity and irrigation of the peri- toneum with iodine solution. The postoperative course was uneventful and complication-free. A three-year follow-up was carried out without any recurrence. Our review of the recent literature showed that an adequate surgical procedure, proper cleaning of the peritoneal cavity and postoperative medical treatment with albendazole are the most important factors for reducing the incidence of recurrence.
我们借助射频解剖器设备（Ligasure）对第二和第三肝段进行了次全膀胱切除术，同时从腹腔中清除了子囊肿，并用碘溶液冲洗了腹膜。术后过程顺利，无并发症。进行了三年的随访，无任何复发情况。我们对近期文献的回顾表明，适当的手术操作、正确清洁腹腔以及术后使用阿苯达唑进行药物治疗是降低复发率的最重要因素。
