Peleg H, Best L A, Gaitini D
J Thorac Cardiovasc Surg. 1985 Nov;90(5):783-7.
Hydatid disease is endemic in certain villages in Galilee, Israel. Most patients seen in our thoracic surgical department have only pulmonary cysts, but some of them have concomitant liver cysts. From 1963 until 1982, 10 patients who were referred for lung operations had echinococci removed from the liver through a right thoracotomy. Every patient with a suspected diagnosis of pulmonary hydatidosis had isotope and ultrasound scans of the liver. Liver cysts found adjacent to the right hemidiaphragm were removed at thoracotomy. Patients having liver cysts remote from the diaphragm were referred for laparotomy. There were no postoperative complications or deaths in this series. We advocate routine search for liver cysts in any surgical candidate with lung hydatids. Accessible liver cysts should be excised at the same thoracotomy. We did not find any mention of this approach in the literature available to us.
包虫病在以色列加利利的某些村庄呈地方性流行。我们胸外科诊治的大多数患者仅有肺囊肿，但其中一些患者伴有肝囊肿。1963年至1982年期间，10例因肺部手术前来就诊的患者通过右胸切开术从肝脏中取出了棘球绦虫。每例疑似肺包虫病的患者均接受了肝脏的同位素和超声扫描。在开胸手术时切除发现的位于右半膈肌附近的肝囊肿。肝脏囊肿远离膈肌的患者则转至普外科接受剖腹手术。该系列病例中无术后并发症或死亡病例。我们主张对任何患有肺包虫病的手术候选患者常规检查是否存在肝囊肿。可触及的肝囊肿应在同一次开胸手术中切除。我们在所能查阅的文献中未发现有关这种方法的任何提及。
