Assadourian R, Leynaud G, Dufour J, Atie N
J Chir (Paris). 1980 Feb;117(2):115-20.
From 1968 to 1978 the authors treated 60 hydatid cysts of the liver. Echotomography and computerised axial tomography showed the topography of the cyst. However, coelio-mesenteric arteriography and cavography are essential before any kystectomy. In spite of its simplicity, resection of the salient dome of the diaphragm is less often used, owing to the risk of bile leakage and recurrence. Pericystectomy fulfils better our therapeutic objectives. It is more difficult to carry out for there is a risk of hemorrhage. Marsupialisation and hepatectomy are exceptional. Since 1974, 13 pericystectomies out of 15 patients have been carried out, whereas resection of the salient dome was previously the most commonly used procedure (40 out of 45 cases). Only regular immunological follow up is a reliable test of lasting cure.
1968年至1978年间，作者共治疗了60例肝包虫囊肿。超声断层扫描和计算机断层扫描显示了囊肿的位置。然而，在进行任何囊肿切除术之前，肠系膜上动脉造影和腔静脉造影是必不可少的。尽管膈肌突出部切除术操作简单，但由于存在胆汁漏和复发的风险，其应用较少。囊肿切除术更符合我们的治疗目标。由于存在出血风险，实施起来更困难。袋形缝术和肝切除术则较为罕见。自1974年以来，15例患者中有13例进行了囊肿切除术，而此前最常用的手术是突出部切除术（45例中有40例）。只有定期的免疫学随访才是持久治愈的可靠检验方法。
