Manterola Carlos, Otzen Tamara, Muñoz Gloria, Alanis Martín, Kruuse Eileen, Figueroa Gustavo
Departamento de Cirugía, Universidad de La Frontera, Temuco, Chile; Centro de Excelencia en estudios Morfológicos y Quirúrgicos (CEMyQ), Universidad de La Frontera, Temuco, Chile.
Programa de Doctorado en Ciencias Médicas, Universidad de La Frontera, Temuco, Chile; Facultad de Ciencias de la Salud, Universidad de Tarapacá, Arica, Chile.
Cir Esp. 2017 Dec;95(10):566-576. doi: 10.1016/j.ciresp.2017.08.009. Epub 2017 Oct 14.
There are few publications related to postoperative morbidity in hepatic hydatidosis and these have mixed results. The aim of this study was to determine risk and protective factors of postoperative morbidity in patients operated on for hepatic hydatidosis. A comprehensive review was made of the evidence, based on systematic reviews, clinical analyses and observational studies, obtained from the Trip Database, BVS, SciELO, Cochrane Central Register of Controlled Trials, WoS, MEDLINE, EMBASE, SCOPUS, EBSCOhost, IBECS, ePORTUGUESe, LILACS and WHOLIS. 1,087 related articles were identified; 69 fulfilled the selection criteria (2 systematic reviews, 3 clinical trials and 64 observational studies). Age, history of previous surgery for hepatic hydatidosis, location in the hepatic center, existence of biliary communications and evolutionary complications of the cyst were identified as risk factors, and radical surgical techniques as protective factors. Risk and protective factors were identified; however, the studies are few and the quality moderate to low.
关于肝包虫病术后发病率的相关文献较少，且结果不一。本研究的目的是确定接受肝包虫病手术患者术后发病的风险因素和保护因素。基于从Trip数据库、BVS、SciELO、Cochrane对照试验中央注册库、WoS、MEDLINE、EMBASE、SCOPUS、EBSCOhost、IBECS、ePORTUGUESe、LILACS和WHOLIS获取的系统评价、临床分析和观察性研究，对证据进行了全面综述。共识别出1087篇相关文章；69篇符合入选标准（2篇系统评价、3篇临床试验和64篇观察性研究）。年龄、既往肝包虫病手术史、肝中央部位、存在胆管相通以及囊肿的进展性并发症被确定为风险因素，而根治性手术技术为保护因素。已识别出风险因素和保护因素；然而，研究数量较少，质量中等至较低。
