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腹腔镜手术治疗多发性肝和肾包虫囊肿

Multiple Hepatic and Renal Hydatid Cysts Managed with Laparoscopic Surgery.

作者信息

Kouba Lamia, Alsaid Bayan, Almeree Taisser, Allouche Mazen, Alshalabi Abdulghani

机构信息

Faculty of Medicine, Damascus University, Damascus, Syria.

Department of General Surgery, Al-Assad University Hospital, Damascus, Syria.

出版信息

Case Rep Surg. 2019 Dec 16;2019:6969232. doi: 10.1155/2019/6969232. eCollection 2019.

DOI:10.1155/2019/6969232
PMID:31934486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6942758/
Abstract

Cystic echinococcosis is a parasitic disease caused by The liver and lungs are the most commonly infected organs. We present the first-of-a-kind case of laparoscopic excision of 8 hydatid cysts, of which seven were in the liver and one was in the kidney of a 40-year-old patient. The patient presented with fatigue and fever and a one-year history of vague abdominal pain. Albendazole was administered before surgical intervention. The postoperative follow-up period was notable for a renal fistula. The patient subsequently underwent CT-guided percutaneous removal of a central hepatic hydatid cyst that was inaccessible using laparoscopic techniques. Cystic echinococcosis is endemic in the Mediterranean region. The growing number of immigrants and refugees from endemic areas could increase the prevalence of the disease in nonendemic countries. Therefore, it is important for physicians worldwide to be familiar with the diagnostic modalities and possible treatment options for hydatid disease.

摘要

囊性棘球蚴病是一种由[此处原文缺失相关寄生虫名称]引起的寄生虫病。肝脏和肺是最常受感染的器官。我们报告了首例通过腹腔镜切除8个包虫囊肿的病例,其中7个在肝脏,1个在一名40岁患者的肾脏。该患者表现为疲劳、发热,并有一年的腹部隐痛病史。在手术干预前给予了阿苯达唑。术后随访期间出现了肾瘘。该患者随后接受了CT引导下经皮切除一个腹腔镜技术无法触及的肝中央包虫囊肿。囊性棘球蚴病在地中海地区为地方病。来自流行地区的移民和难民数量不断增加,可能会使非流行国家的该病患病率上升。因此,全世界的医生熟悉包虫病的诊断方法和可能的治疗选择很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9445/6942758/298fad5e7140/CRIS2019-6969232.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9445/6942758/db388f170c6d/CRIS2019-6969232.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9445/6942758/286e273481d9/CRIS2019-6969232.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9445/6942758/298fad5e7140/CRIS2019-6969232.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9445/6942758/db388f170c6d/CRIS2019-6969232.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9445/6942758/286e273481d9/CRIS2019-6969232.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9445/6942758/298fad5e7140/CRIS2019-6969232.003.jpg

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本文引用的文献

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A systematic review and meta-analysis on the treatment of liver hydatid cyst using meta-MUMS tool: comparing PAIR and laparoscopic procedures.使用meta-MUMS工具对肝包虫囊肿治疗的系统评价和荟萃分析:比较穿刺抽吸注射硬化术与腹腔镜手术
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The Comparison of 2 New Promising Weapons for the Treatment of Hydatid Cyst Disease: PAIR and Laparoscopic Therapy.两种治疗包虫囊肿病的新的有前景的方法比较:穿刺抽液注药术和腹腔镜治疗。
Surg Laparosc Endosc Percutan Tech. 2015 Aug;25(4):358-62. doi: 10.1097/SLE.0000000000000177.
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PAIR vs Örmeci technique for the treatment of hydatid cyst.用于治疗包虫囊肿的PAIR术与奥尔梅西技术对比
Turk J Gastroenterol. 2014 Aug;25(4):358-64. doi: 10.5152/tjg.2014.13018.
8
World review of laparoscopic treatment of liver cystic echinococcosis--914 patients.肝囊性包虫病腹腔镜治疗的全球回顾——914例患者
Int J Infect Dis. 2014 Jul;24:43-50. doi: 10.1016/j.ijid.2014.01.012. Epub 2014 Apr 16.
9
Retrovesical hydatid cyst presenting with urinary retention and left kidney atrophy.膀胱后包虫囊肿伴尿潴留及左肾萎缩。
Urol Ann. 2014 Jan;6(1):68-70. doi: 10.4103/0974-7796.127013.
10
Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience.肝包虫病的开腹或腹腔镜治疗? 10 年单中心经验。
Surg Endosc. 2013 Jun;27(6):2110-6. doi: 10.1007/s00464-012-2719-0. Epub 2013 Jan 31.