Dosmagambetov S P
Khirurgiia (Mosk). 2010(4):51-3.
An urgent liver echinococcectomy due to cyst rupture and peritonitis was performed in 15 children, aged 7-14 years. 10 patients were operated on laparoscopically, 5 children had an open operation. A 4-throacar access was used. After aspiration of free hydatid fluid from the peritoneal cavity, a chitin capsule was aspirated. A fibrous capsule was processed with betadine 1% solution. The cyst cavity was drained. All patients received albendazole (10 mg/kg) during 4 weeks postoperatively. Laparoscopic method proved to be more preferable then open technique.
对15名7至14岁的儿童进行了紧急肝包虫切除术，原因是囊肿破裂和腹膜炎。10例患者接受了腹腔镜手术，5例儿童接受了开放手术。采用了四胸入路。从腹腔吸出游离的棘球蚴液后，吸出几丁质囊。用1%的聚维酮碘溶液处理纤维囊。囊肿腔进行引流。所有患者术后4周内均接受阿苯达唑（10mg/kg）治疗。腹腔镜手术方法被证明比开放技术更可取。
