Polat Fatin R
State Hospital, Sakarya, Turkey.
Surg Laparosc Endosc Percutan Tech. 2012 Jun;22(3):264-6. doi: 10.1097/SLE.0b013e318251625c.
The aim of this retrospective study was to evaluate the reliability and feasibility of the laparoscopic approach in hydatid cyst cystectomy.
A retrospective review of the medical records of 21 patients diagnosed with hydatid cyst disease between July 1999 and January 2011 was conducted at Van State Hospital and Toyota Emergency Hospital. Two patients with calcified cysts were excluded. Hydatid cystectomy was performed by laparoscopy (LC) in 7 patients and by laparotomy (OC) in 12 patients. The preoperative and postoperative parameters were compared.
There were 11 female (52.3%) and 8 male (47.7%) patients with a mean age of 31.7 years (range, 14 to 50 y). The mean duration of hospitalization was 4.8 days (range, 2 to 15 d). Recurrence was not seen in any cases in both groups. The morbidity rates of LC and OC were 14.2% and 33.3%, respectively. The most frequent postoperative complications were wound infections (1 case in LC and 3 cases in OC), hemorrhage (1 patient in the OC group), and hernia (as the late complication in 2 patients in the OC group). The operation success was graded as excellent in 18 patients and good in 1 patient.
The laparoscopic technique is an easy-to-apply, safe, and effective method to conduct liver and spleen hydatid cyst surgery. This technique can be used in patients with unique, small-sized, superficially located cysts, and also has the advantages of other abdominal laparoscopic operations.
本回顾性研究旨在评估腹腔镜入路在包虫囊肿切除术中的可靠性和可行性。
对1999年7月至2011年1月期间在凡州医院和丰田急救医院诊断为包虫囊肿病的21例患者的病历进行回顾性分析。排除2例囊肿钙化患者。7例患者采用腹腔镜（LC）行包虫囊肿切除术，12例患者采用剖腹手术（OC）。比较术前和术后参数。
患者中女性11例（52.3%），男性8例（47.7%），平均年龄31.7岁（范围14至50岁）。平均住院时间为4.8天（范围2至15天）。两组均未出现复发情况。LC组和OC组的发病率分别为14.2%和33.3%。最常见的术后并发症为伤口感染（LC组1例，OC组3例）、出血（OC组1例患者）和疝（OC组2例患者的晚期并发症）。手术成功18例评为优秀，1例评为良好。
腹腔镜技术是一种易于应用、安全有效的肝脾包虫囊肿手术方法。该技术可用于囊肿独特、体积小且位于浅表的患者，并且具有其他腹部腹腔镜手术的优点。
