Osemek Paweł, Chmieliński Arkadiusz, Paśnik Krzysztof, Kidziński Rafał
Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland.
Wideochir Inne Tech Maloinwazyjne. 2011 Dec;6(4):264-7. doi: 10.5114/wiitm.2011.26264. Epub 2011 Dec 20.
Hydatid disease is not common in human populations of highly developed urban areas. However, increasing immigration, travel and international tourism have led to a recent increase in incidence. Surgery remains the method of choice in the management of hepatic hydatid cysts. Laparoscopic treatment of the disease has been questionable so far, though it is feasible and safe in use. We report a case of an 18-year-old woman, successfully treated with total cystectomy located in a favourable laparoscopic area - the border of the 3(rd) and 4(th) segment of the hepatic left lobe. The operation and hospitalization period were uncomplicated. Controlled follow-up laboratory and radiological tests showed no remaining pathology or recurrence in any form. In conclusion we state that the laparoscopic technique provides a feasible and efficacious option of treatment for some types of hydatid cysts located in the liver. It is a safe miniinvasive surgical approach which enables postoperative discomfort to be reduced and results in a quick recovery.
包虫病在高度发达城市地区的人群中并不常见。然而,移民增加、旅行和国际旅游业的发展导致近期发病率有所上升。手术仍然是肝包虫囊肿治疗的首选方法。迄今为止,该疾病的腹腔镜治疗一直存在争议,不过其使用是可行且安全的。我们报告一例18岁女性病例,成功接受了位于有利腹腔镜手术区域——肝左叶第3和第4段交界处的囊肿全切除术。手术和住院期间均无并发症。控制性随访实验室和影像学检查未显示任何形式的残留病变或复发。总之,我们认为腹腔镜技术为某些位于肝脏的包虫囊肿提供了一种可行且有效的治疗选择。它是一种安全的微创手术方法,可减轻术后不适并实现快速康复。