Rakas F S, el-Mufti M, Mehta P M, Abuthina H, Challeni C R
Department of Surgery, Benghazi, Libya.
Hepatogastroenterology. 1990 Dec;37 Suppl 2:55-7.
We have reviewed a series of 124 consecutive cases of hepatic hydatid cysts in 102 patients treated surgically in Benghazi, Libya, over a period of five years. Overall mortality was 3.9%. The rate of post-operative complications was 37.5%. Cysts already complicated with infection, intrabiliary communication or intra-peritoneal rupture accounted for 30.6% of the cases. They were all treated by means of removing the endocyst and external tube drainage of the residual cavity. In this subgroup, the post-operative complications' rate was 89%. In the 74 uncomplicated cysts, removal of the parasite was followed by omentoplasty in 25 cases and external tube drainage in 49 cases. Postoperative complications occurred in 16% of the omentoplasty group and 8.2% of the drainage group. It is concluded that omentoplasty for the obliteration of the residual cavity may be used in uninfected and relatively inaccessible cysts. In the majority of cases, however, external tube drainage retains its value as a simple and safe procedure.
我们回顾了利比亚班加西地区在五年期间对102例患者进行手术治疗的124例连续性肝包虫囊肿病例。总死亡率为3.9%。术后并发症发生率为37.5%。已合并感染、胆内瘘或腹腔内破裂的囊肿占病例的30.6%。所有这些病例均采用摘除内囊并对残余腔进行外引流管引流的方法治疗。在该亚组中，术后并发症发生率为89%。在74例未合并症的囊肿中，25例行寄生虫摘除术后行大网膜移植术，49例行外引流管引流术。大网膜移植术组术后并发症发生率为16%，引流组为8.2%。结论是，对于未感染且位置相对较深的囊肿，可采用大网膜移植术封闭残余腔。然而，在大多数情况下，外引流管引流作为一种简单安全的方法仍具有价值。
