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腹腔镜下胰腺包虫囊肿切除术:一例病例报告及文献综述

Laparoscopic cystectomy for pancreatic echinococcosis: A case report and literature review.

作者信息

Imam Ashraf, Khoury Tawfik, Weis Dani, Khalayleh Harbi, Adeleh Muhammad, Khalaileh Abed

机构信息

Department of Surgery, Kaplan Medical Center, Rehovot, Israel.

Department of Gastroenterology and Liver Diseases, Jerusalem, Israel.

出版信息

Ann Hepatobiliary Pancreat Surg. 2019 Feb;23(1):87-90. doi: 10.14701/ahbps.2019.23.1.87. Epub 2019 Feb 28.

Abstract

Cystic echinococcosis (CE) is a widely endemic helminthic disease caused by infection with the Echinococcus granulosus tapeworm. Following ingestion of eggs, hydatid cysts develop, most frequently in the liver and lungs, but occasionally in other organs. Infection of the pancreas by hydatid cysts is very rare, even in endemic areas. Most cases of pancreatic hydatid cysts reported in the literature were treated surgically using traditional open laparotomy. There are only few case reports describing laparoscopic treatment for this disease. Herein, we report on an eighteen-year-old female patient who was referred to our institution with a hydated pancreatic tail cyst. After a course of treatment with Albendazole, we successfully performed laparoscopic splenic-sparing distal pancreatectomy to remove the cyst with an uneventful intra- and post-operative course.

摘要

囊型包虫病(CE)是一种由细粒棘球绦虫感染引起的广泛流行的蠕虫病。摄入虫卵后,会形成包虫囊肿,最常见于肝脏和肺部,但偶尔也会出现在其他器官。即使在流行地区,胰腺被包虫囊肿感染也非常罕见。文献中报道的大多数胰腺包虫囊肿病例采用传统的开放剖腹手术进行治疗。仅有少数病例报告描述了针对这种疾病的腹腔镜治疗。在此,我们报告一名18岁女性患者,她因胰腺尾部包虫囊肿被转诊至我院。在接受阿苯达唑治疗一个疗程后,我们成功实施了保留脾脏的腹腔镜远端胰腺切除术以切除囊肿,术中和术后过程均顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7367/6405372/1190432f8879/ahbps-23-87-g001.jpg

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