肝包虫病的根治性手术：流行地区的结果分析。
Radical surgery in hepatic hydatidosis: analysis of results in an endemic area.
机构信息
Cirugía General y Digestivo, Hospital Universitario de Gudalajara.
Cirugía General y Digestiva, Hospital Universitario de Guadalajara, España.
出版信息
Rev Esp Enferm Dig. 2020 Sep;112(9):708-711. doi: 10.17235/reed.2020.6722/2019.
INTRODUCTION
radical surgery in hepatic hydatidosis is associated with less morbidity and recurrence than conservative surgery.
MATERIAL AND METHODS
a retrospective observational study of patients with liver hydatid cyst surgery was performed. Seventy-one patients with 90 cysts were included between 2007 and 2017, and radical surgery was performed in 69.01 %.
RESULTS
there was no difference in morbidity, mortality, biliary leakage or recurrence according to surgery. Complicated cysts were associated with a longer hospital stay and morbidity.
CONCLUSION
decision-making should consider age, comorbidity, cyst characteristics and available resources. Radical surgery should be applied whenever feasible as it achieves better results with an adequate selection of patients.
简介
肝包虫病的根治性手术比保守性手术具有更低的发病率和复发率。
材料和方法
对 2007 年至 2017 年间接受肝包虫囊肿手术的患者进行回顾性观察性研究。共纳入 71 例 90 个囊肿患者，其中根治性手术占 69.01%。
结果
手术方式与发病率、死亡率、胆漏或复发率无关。复杂囊肿与较长的住院时间和发病率有关。
结论
决策应考虑年龄、合并症、囊肿特征和现有资源。根治性手术应在可行时应用，因为在适当选择患者的情况下可以取得更好的结果。
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