Syllaios Athanasios, Schizas Dimitrios, Koutras Antonios, Zotos Prokopis-Andreas, Davakis Spyridon, Vailas Michail, Hasemaki Natasha, Triantafyllou Evangelia, Georgiou Christos
First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, 11527, Greece.
Department of Obstetrics and Gynecology, Laikon General Hospital, Athens 11527, Greece.
Pan Afr Med J. 2019 Sep 4;34:11. doi: 10.11604/pamj.2019.34.11.17198. eCollection 2019.
Diagnosis and treatment of liver hydatid cysts may be challenging. Many surgical techniques have been proposed for the treatment of liver hydatid cysts, but the problem of the residual cavity still remains controversial and challenging, especially in giant liver hydatid cysts which are rare entities that have not been widely described in the literature so far. Capitonnage, external tube drainage and omentoplasty are the most commonly used techniques. Herein, we report the case of a 70-year-old man with a mild upper quadrant pain that proved to have a giant liver hydatid cyst, 21*14 cm, occupying the entire right lobe of the liver. We describe a successful surgical approach with cyst unroofing and careful evacuation of the multiple daughter cysts by aspiration, and the effective management of the residual cavity by the combination of all three aforementioned techniques.
肝包虫囊肿的诊断和治疗可能具有挑战性。已经提出了许多手术技术用于治疗肝包虫囊肿，但残余腔的问题仍然存在争议且具有挑战性，特别是在巨大肝包虫囊肿中，这是一种罕见的实体，迄今为止在文献中尚未得到广泛描述。帽状缝合术、外置引流管引流术和大网膜成形术是最常用的技术。在此，我们报告一例70岁男性患者，其因上腹部轻度疼痛就诊，经检查发现有一个21×14厘米的巨大肝包虫囊肿，占据了整个肝右叶。我们描述了一种成功的手术方法，包括囊肿开窗术以及通过抽吸仔细清除多个子囊，并通过联合上述三种技术有效处理残余腔。
