Chetverikov S G, Akhmad Z M
Klin Khir. 2014 Jun(6):31-3.
Results of examination and treatment of 326 patients, suffering hepatic echinococcosis, in whom 449 surgical interventions were performed, were analyzed. In 123 patients the disease recurrence was diagnosed. In 80 (17.8%) patients laparoscopic access was applied, in 261 (58.1%)--laparotomic, in 108 (24.1%)--the puncture treatment of parasitic cysts under ultrasonographic investigation control. There was established, that the residual cavity walls after echinococcectomy, if the condition of their chemical and thermal processing do not constitute a danger for the disease recurrence occurrence, but the residual cavity suppuration or formation of durably persisting residual cavities in liver is possible. So the optimal operative intervention must be echinococcectomy with partial resection of fibrose capsule with the thinned hepatic parenchyma.
分析了326例肝包虫病患者的检查和治疗结果，这些患者共接受了449次外科手术。123例患者被诊断疾病复发。80例（17.8%）患者采用腹腔镜入路，261例（58.1%）采用剖腹手术，108例（24.1%）在超声检查控制下对寄生囊肿进行穿刺治疗。已确定，肝包虫切除术后的残留腔壁，如果其化学和热处理条件不会对疾病复发构成危险，但残留腔可能会发生化脓或在肝脏中形成持久存在的残留腔。因此，最佳手术干预应为肝包虫切除术，同时部分切除纤维囊及变薄的肝实质。
