Ismail K, Haluk G I, Necati O
Department of General & Paediatric Surgery, Ankara University Hospital, Turkey.
Int Surg. 1991 Jul-Sep;76(3):185-8.
This series consists of seven patients with hydatid cysts of the pancreas; five females and two males, with an average age of 31 years. In a follow-up extending up to 33 years, about a 50% rate of correct preoperative diagnosis was recorded. The most sensitive and effective diagnostic modalities such as latex agglutination, ultrasonic, radionuclide, computerized tomographic and magnetic resonance imaging techniques were not available till the late seventies and therefore were only used during diagnosis of the latter 3 cases. Four patients had cysts located in the head of the pancreas. Three cysts were situated in the body and tail. Two distal pancreatectomies, two cystectomies and three marsupialization and external drainage procedures were performed for the surgical management of these cases. Two of the marsupialized and externally drained patients had fistulas which eventually dried up within a month leading to a total morbidity of 29% and a mortality rate of nil.
该系列包括7例胰腺包虫囊肿患者；5名女性和2名男性，平均年龄31岁。在长达33年的随访中，术前正确诊断率约为50%。最敏感和有效的诊断方法如乳胶凝集试验、超声、放射性核素、计算机断层扫描和磁共振成像技术直到70年代后期才出现，因此仅用于后3例的诊断。4例患者的囊肿位于胰头。3个囊肿位于胰体和胰尾。对这些病例进行了2次远端胰腺切除术、2次囊肿切除术、3次袋形缝合术和外引流术。2例接受袋形缝合术和外引流术的患者出现瘘管，但最终在1个月内干涸，总发病率为29%，死亡率为零。
