Akinoğlu A, Bilgin I, Erkoçak E U
Can J Surg. 1985 Mar;28(2):171-2, 174.
The authors review 143 consecutive, surgically treated cases of hydatid disease of the liver seen over the past 10 years. Of the 208 cysts found, 82 (39.4%) were complicated; the remainder were simple. The complications included rupture into the biliary system (16.3%), suppuration (11.0%), partial calcification of the pericyst (5.8%), intraperitoneal rupture (4.8%), bronchobiliary fistula (0.9%) and cystocutaneous fistula (0.5%). External capitonnage was the most commonly used surgical technique (63.0%), followed by cystectomy (17.8%), omentoplasty (10.6%), tube drainage (7.7%) and cystojejunostomy (0.9%). Capitonnage was carried out with or without tube drainage. The complications of surgery were higher with drainage than without. The main complications of surgery were infection in the residual cavity and biliary fistula. The patients who underwent external capitonnage without drainage or omentoplasty had good results with minimal complication rates (3.5% and 4.5% respectively). For the patients in whom the cystectomy was established, the complication rate was 8.1%.
作者回顾了过去10年中连续143例接受手术治疗的肝包虫病病例。在发现的208个囊肿中，82个（39.4%）为复杂囊肿，其余为单纯囊肿。并发症包括破入胆道系统（16.3%）、化脓（11.0%）、囊肿周围部分钙化（5.8%）、腹腔内破裂（4.8%）、支气管胆管瘘（0.9%）和囊肿皮肤瘘（0.5%）。外置引流术是最常用的手术技术（63.0%），其次是囊肿切除术（17.8%）、网膜成形术（10.6%）、置管引流术（7.7%）和囊肿空肠吻合术（0.9%）。引流术可在有或无置管引流的情况下进行。有引流的手术并发症高于无引流的情况。手术的主要并发症是残腔感染和胆瘘。未行引流或网膜成形术的外置引流术患者效果良好，并发症发生率极低（分别为3.5%和4.5%）。对于行囊肿切除术的患者，并发症发生率为8.1%。
