Busić Zeljko, Lovrić Zvonimir, Kolovrat Marijan, Cavka Vlatka, Patrlj Leonardo, Cavka Mislav
Klinika za kirurgiju Klinicke bolnice Dubrava.
Lijec Vjesn. 2010 Jul-Aug;132(7-8):235-7.
Operative treatment of hepatic hydatid cyst is technically demanding procedure. The method of choice is conservative treatment with Albendazolum followed by surgery. Open laparotomy or laparoscopic operation can be performed. We prefere laparoscopic exploration followed by laparoscopic total pericystectomy or laparoscopic partial pericystectomy. If laparoscopic operation is not possible due to technical reasons and patient safety, conversion to an open operation should be done, followed by total or partial pericystectomy. The case and our detailed technique of laparoscopic partial pericystectomy with biliostasis and omentoplasty is described. Laparoscopic operation is equally safe for the patient, yet with minor trauma and better aesthetic effect.
肝包虫囊肿的手术治疗是一项技术要求较高的操作。首选的方法是先用阿苯达唑进行保守治疗，然后再进行手术。可采用开腹手术或腹腔镜手术。我们更倾向于先进行腹腔镜探查，然后行腹腔镜全囊肿切除术或腹腔镜部分囊肿切除术。如果由于技术原因或患者安全问题无法进行腹腔镜手术，则应转为开腹手术，随后行全囊肿切除术或部分囊肿切除术。本文描述了伴有胆汁淤积和网膜成形术的腹腔镜部分囊肿切除术的病例及详细技术。腹腔镜手术对患者同样安全，但创伤较小且美容效果更佳。
