Yucel Yusuf, Seker Ahmet, Eser Irfan, Ozgonul Abdullah, Terzi Alpaslan, Gozeneli Orhan, Aydogan Timucin, Uzunkoy Ali
Ann Ital Chir. 2015;86:437-43.
We aimed to retrospectively analyze patients who underwent surgical treatment in our clinic for hydatid cysts in terms of the surgical methods implemented and their results.
Archival records of the patients who underwent surgery for the treatment of hydatid cysts between 2007 and 2014 were analyzed retrospectively.
The records of 425 patients who underwent surgery with varying ages of 16 to 88 years (mean: 44.5) were obtained. Among the patients, 33.9% (n=144) were male and 66.1% (n=281) were female. The most frequent symptoms were abdominal pain (46.4%) and dyspepsia (30.9%). About 79.5% of the patients had hydatid cysts in their livers, and 66.8% of these cysts were on the right lobe of the liver. Surgical intervention was performed on 513 cysts. The average diameter of these cysts was 8.3 cm. About 85.5% (n= 438) of the interventions implemented were partial cystectomy. Laparotomy was performed through the right subcostal incision on 81% (n=345) of the patients who underwent conventional surgery. The most frequently encountered complication was biliary fistula. The mortality rate was 0%.
The results showed that most of the cases were uncomplicated isolated hepatic hydatid cysts frequently found on the right lobe of the liver. The most frequently implemented surgical procedure was partial cystectomy. This procedure was simple, fast and applicable for uncomplicated hepatic hydatid cysts.
Hepatic hydatid cyst, Mortality, Partial cystectomy.
我们旨在回顾性分析在我们诊所接受手术治疗包虫囊肿的患者，包括所采用的手术方法及其结果。
回顾性分析2007年至2014年间接受手术治疗包虫囊肿患者的档案记录。
获得了425例接受手术患者的记录，患者年龄在16至88岁之间（平均44.5岁）。其中，男性占33.9%（n = 144），女性占66.1%（n = 281）。最常见的症状是腹痛（46.4%）和消化不良（30.9%）。约79.5%的患者肝脏中有包虫囊肿，其中66.8%的囊肿位于肝右叶。对513个囊肿进行了手术干预。这些囊肿的平均直径为8.3厘米。实施的干预措施中约85.5%（n = 438）为部分囊肿切除术。81%（n = 345）接受传统手术的患者通过右肋下切口进行剖腹手术。最常遇到的并发症是胆瘘。死亡率为0%。
结果表明，大多数病例为无并发症的孤立性肝包虫囊肿，常见于肝右叶。最常实施的手术方法是部分囊肿切除术。该手术简单、快速，适用于无并发症的肝包虫囊肿。
肝包虫囊肿；死亡率；部分囊肿切除术
