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[肝顶部包虫囊肿袋形缝合术中引流隧道的建议技术]

[Proposed technic of drainage tunneling in marsupialization of hydatid cysts of the hepatic cupula].

作者信息

Tiberio G, Dettori G, Giulini S M, Noya G

出版信息

Minerva Chir. 1978 Nov 30;33(22):1653-7.

PMID:733018
Abstract

Even though the present tendency is to make use of radical operations, such as pericystectomy, hepatic resection and lobectomy, in the surgical management of hydatidosis of the liver, marsupialisation is still the method of choince in a large and clearly defined number of cases. While usually simple, this operation may prove difficult and complex when used on cysts of the cupola, since it may often be necessary to mobilise the liver to a large extent and employ damaging approach routes. A description is offered of a particular technique for tunnelling the desinage tube which considerably simplifies marsupialisation in cases of this kind.

摘要

尽管目前的趋势是在肝包虫病的外科治疗中采用根治性手术,如囊肿切除术、肝切除术和叶切除术,但在大量明确界定的病例中,袋形缝合术仍是首选方法。虽然该手术通常较为简单,但用于穹窿部囊肿时可能会变得困难和复杂,因为往往需要大范围地游离肝脏并采用具有损伤性的入路途径。本文描述了一种用于引导引流管的特殊技术,该技术可在这类病例中大大简化袋形缝合术。

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