Gilevich M Iu, Kniazeva G M, Natroshvili G S, Kastornaia I P
Khirurgiia (Mosk). 1990 Nov(11):116-20.
The work is based on the analysis of surgical treatment of 2,985 patients with hydatid diseases of the organs of the abdominal cavity and retroperitoneal space. The character of the operative intervention is determined by the period of hydatid vital activity, its size, and the features of its localization within the organ. The authors identified the following periods of hydatid vital activity: living parasite, dead parasite; complicated echinococcosis. Organ preserving operations are indicated in subcortical localization of the hydatid in the liver, in one of the poles of the spleen and in the kidney when the fibrous capsule is well preserved. Splenectomy or nephrectomy must be carried out in large and giant hydatids of the spleen and kidney localized in the organ or in its hilus and in irreversible changes in the organ. Open echinococcectomy is indicated in suppuration of large hydatids in the subdiaphragmatic space in occasional cases.
这项工作基于对2985例腹腔和腹膜后间隙器官包虫病患者手术治疗的分析。手术干预的特点取决于包虫生命活动的时期、其大小以及在器官内的定位特征。作者确定了包虫生命活动的以下时期：活寄生虫、死寄生虫；复杂棘球蚴病。当肝内包虫位于皮质下、脾的一极以及肾且纤维囊保存完好时，可进行保留器官的手术。当脾和肾的大或巨大包虫位于器官或其蒂部且器官出现不可逆变化时，必须进行脾切除术或肾切除术。偶尔在膈下间隙大的包虫发生化脓时，可进行开放性包虫切除术。
