肝包虫囊肿的治疗：来自伊朗南部293例手术病例的回顾性分析

Management of Liver Hydatid Cysts: A Retrospective Analysis of 293 Surgical Cases from Southern Iran.

作者信息

Erfani Amirhossein, Shahriarirad Reza, Eskandarisani Mehrdad, Rastegarian Mohammad, Sarkari Bahador

机构信息

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Trop Med. 2023 Jun 19;2023:9998739. doi: 10.1155/2023/9998739. eCollection 2023.

DOI:10.1155/2023/9998739

PMID:37377601

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10292944/

Abstract

BACKGROUND

The current study aimed to evaluate the therapeutic features and complications of liver hydatid cyst in patients who underwent surgery for cystic echinococcosis (CE) in Fars province, southern Iran.

METHODS

A total of 293 patients who underwent surgery for liver hydatid cyst from 2004 to 2018 in Fars province, southern Iran, were retrospectively evaluated. The clinical records of patients were reviewed, and the demographic and clinical characteristics of each patient were assessed.

RESULTS

Of the total of 293 cases, 178 (60.9%) were females and 115 (39.1%) were males. The mean age of the subjects was 37.22 (±20.55) years. The mean size of the liver hydatid cyst was 9.18 (±4.365) cm. Of the 293 patients studied, 227 (77.4%) had hydatid cysts only in the liver, while 55 (9.4%) had both liver and lung cysts. More than half of the liver cysts (65.9%) were located in the right portion of the liver (segment 5 to 8). Of the 293 cases, 52 (17.7%) underwent radical surgery, while 241 (82.3%) underwent conservative surgery. Recurrence of hydatid cyst was recorded in 46 (15%) of cases. Patients who were treated with radical surgery in comparison with those who had conservative surgery had a lower recurrence rate but a longer duration of hospital stay ( < 0.05).

CONCLUSION

Recurrence remains as one of the major challenges in the management of hydatid cyst. Radical surgery reduces the chance of recurrence, although this procedure increases the length of hospital stay.

摘要

背景

本研究旨在评估伊朗南部法尔斯省接受囊性棘球蚴病（CE）手术治疗的肝包虫囊肿患者的治疗特点及并发症。

方法

回顾性评估2004年至2018年在伊朗南部法尔斯省接受肝包虫囊肿手术的293例患者。查阅患者的临床记录，评估每位患者的人口统计学和临床特征。

结果

293例患者中，178例（60.9%）为女性，115例（39.1%）为男性。受试者的平均年龄为37.22（±20.55）岁。肝包虫囊肿的平均大小为9.18（±4.365）厘米。在研究的293例患者中，227例（77.4%）仅肝脏有包虫囊肿，而55例（9.4%）肝脏和肺部均有囊肿。超过一半的肝囊肿（65.9%）位于肝脏右侧（第5至8段）。293例患者中，52例（17.7%）接受了根治性手术，241例（82.3%）接受了保守性手术。46例（15%）患者记录有包虫囊肿复发。与接受保守性手术的患者相比，接受根治性手术的患者复发率较低，但住院时间较长（<0.05）。