Coman C, Stan A, Micu V, Popescu L, Ciulavu C, Iurea A
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1978 Jan-Feb;27(1):21-8.
The authors present the experience of the Clinic for Thoracic Surgery of Bucharest, based on a total of 1206 cases of patients operated for hydatic cysts. An original classification is presented, of human hydatidosis, the indications of surgical treatment are stressed, namely the evacuation of the hydatic membrane with the peri-cystic tissue, even in cases of evacuated and suppuratec cysts--the authors objecting to the pulmonary resection in cases of hydatic cysts. The authors have performed simultaneous bilateral interventions, associated or not with phrenotomy, in bilateral and hepatic localizations. In the paper is also presented a new procedure (introduced by Prof. C. Coman) for the total extirpation of the hydatic membrane, a simple procedure which practically prevents effraction of the cyst. On the other hand the results confirm the efficiency of the procedure, very good results being obtained in 98,8% of the cases.
作者介绍了布加勒斯特胸外科诊所的经验，该经验基于总共1206例接受包虫囊肿手术的患者。文中提出了一种人类包虫病的原始分类方法，强调了手术治疗的适应症，即即使在囊肿已排空和化脓的情况下，也要切除含囊肿组织的包虫膜——作者反对对包虫囊肿患者进行肺切除术。作者对双侧和肝脏部位的包虫囊肿进行了双侧同步干预，这种干预可联合或不联合膈切开术。本文还介绍了一种新的手术方法（由C. 科曼教授引入），用于完全切除包虫膜，这是一种简单的手术方法，实际上可防止囊肿破裂。另一方面，结果证实了该手术方法的有效性，98.8%的病例取得了非常好的效果。
