A Ji-De, Chai Jin-Ping, Jia Sheng-Long, A Xiang-Ren
Department of Hepatic Hydatidosis, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China.
Department of Internal Medicine-Cardiovascular, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China.
World J Gastrointest Surg. 2023 Aug 27;15(8):1591-1599. doi: 10.4240/wjgs.v15.i8.1591.
Echinococcosis is a zoonotic parasitic disease caused by Escherichia larvae. It frequently involves the liver (70%-75%), followed by the lungs (15%-20%), and occasionally the brain, heart, spleen, bone, and other organs. The main pathogenic forms of human echinococcosis currently include cystic echinococcosis (CE) and alveolar echinococcosis (AE). CE is globally distributed, while the distribution of AE is generally restricted to the northern hemisphere. In China, CE accounts for 75% of all echinococcosis cases. With rapid advances in surgical techniques in recent decades, the surgical strategy for CE has changed, especially with the continuous improvement of surgical methods and the expansion of surgical contraindications. To further understand the changes in surgical treatment strategies for hepatic CE, we interpreted and analyzed the existing literature addressing the surgical treatment of hepatic CE both domestically and abroad and briefly summarized them in chronological order. This review aims to provide a deeper understanding of the progress in the surgical treatment of hepatic CE to provide clearer avenues for its clinical diagnosis and treatment.
棘球蚴病是一种由棘球绦虫幼虫引起的人畜共患寄生虫病。该病常累及肝脏（70%-75%），其次为肺（15%-20%），偶尔也会累及脑、心脏、脾脏、骨骼及其他器官。目前人类棘球蚴病的主要致病形式包括囊型棘球蚴病（CE）和泡型棘球蚴病（AE）。CE呈全球分布，而AE的分布一般局限于北半球。在中国，CE占所有棘球蚴病病例的75%。近几十年来，随着外科技术的快速发展，CE的手术策略发生了变化，尤其是随着手术方法的不断改进和手术禁忌证范围的扩大。为进一步了解肝CE手术治疗策略的变化，我们对国内外有关肝CE手术治疗的现有文献进行了解读和分析，并按时间顺序进行了简要总结。本综述旨在更深入地了解肝CE手术治疗的进展，为其临床诊断和治疗提供更清晰的途径。
