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[肝脏部分切除术治疗棘球蚴病]

[Partial resection of the liver in the treatment of echinococcosis].

作者信息

Kostić V, Stojiljković M, Jeremić M, Ilić M, Cvetković Z, Pesić M

出版信息

Acta Chir Iugosl. 1981;28(2):263-75.

PMID:7347221
Abstract

On the basis of reports' reviewed and authors' experience, in 118 patients with hydatid disease of the liver, 15 of whom (12%) have been treated by partial resection of the liver, it can be concluded that: - Partial resections of the liver represents a radical surgical procedure in the treatment of liver hydatidosis, - A surgical treatment of the liver hydatid disease requires a total extirpations of echinococcus cysts, as well as irreversibly damaged liver tissue itself, - These resections' methods should be carried out in definite indications, - In comparison with other, especially more conservative (surgical) procedures, resections reduce complications and shorten a hospitalization, - Because of technical difficulties concerning respective surgical procedures (in particular left or right lobectomy), one should always have in mind the relative benignity of the hydatid disease, operative risk, and that other less aggressive surgical methods exist. - Surgical departments applying these methods have to employ sufficient quantity of adequate blood, well trained and experienced surgeons and equipment.

摘要

根据所查阅的报告及作者的经验,在118例肝包虫病患者中,其中15例(12%)接受了肝部分切除术,可以得出以下结论:- 肝部分切除术是治疗肝包虫病的一种根治性手术方法;- 肝包虫病的手术治疗需要彻底切除棘球蚴囊肿以及已发生不可逆损伤的肝组织本身;- 这些切除术应在明确的适应证下进行;- 与其他手术方法,尤其是更为保守的(手术)方法相比,切除术可减少并发症并缩短住院时间;- 由于相关手术操作存在技术困难(特别是左叶或右叶切除术),应始终牢记包虫病的相对良性、手术风险以及存在其他侵袭性较小的手术方法;- 应用这些方法的外科科室必须备有足够数量的合适血液、训练有素且经验丰富的外科医生以及设备。

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