Dawson J L, Stamatakis J D, Stringer M D, Williams R
Department of Surgery, King's College Hospital, Denmark Hill, London.
Br J Surg. 1988 Oct;75(10):946-50. doi: 10.1002/bjs.1800751004.
The results of surgery in 48 patients with hepatic hydatid disease are described. In 26 out of 32 patients with uncomplicated cysts, conservative surgery with obliteration of the cyst cavity by omentoplasty gave satisfactory results. In contrast, 16 patients with cysts complicated by pyogenic infection or cholangitis required a variety of surgical procedures, including prolonged tube drainage, exploration of the common bile duct, sphincterotomy/plasty and hepatojejunostomy to achieve a satisfactory outcome. The group with complicated cysts also had a much longer postoperative stay (median 30 days) than those with uncomplicated cysts (median 14 days). Two patients died: in one, post-mortem examination revealed carcinoma in the wall of the cyst.
本文描述了48例肝包虫病患者的手术结果。在32例单纯囊肿患者中，26例采用大网膜成形术封闭囊肿腔的保守手术取得了满意效果。相比之下，16例囊肿合并化脓性感染或胆管炎的患者需要进行多种手术，包括长时间置管引流、胆总管探查、括约肌切开术/成形术和肝空肠吻合术，以获得满意结果。合并囊肿组的术后住院时间（中位数30天）也比单纯囊肿组（中位数14天）长得多。两名患者死亡：其中一名患者尸检发现囊肿壁有癌。
