Gaĭdarski R, Dimitrova V, Stanoev V
Khirurgiia (Sofiia). 1994;47(6):31-5.
A series of 137 patients presenting Echinococcus of which 132 (96.3 per cent) with hepatic location, operated in the clinic of hepatobiliary and pancreatic surgery over the period 1984 to 1994, are analyzed. Right-side location is documented in 59.1 per cent, left-side--in 26.5 per cent, and bilateral--in 14.4 per cent of the patients operated on. In 18.2 per cent it is a matter of a multiple process, and in 27.3 per cent--complicated course. Conservative operative procedures are used in 56.1 per cent, mixed--in 18.9 per cent, and radical--in 25 per cent. Overall mortality in the series amounts to 3.03 per cent; in patients subjected to radical operation--0 per cent, and in cases with serious postoperative complications requiring relaparotomy--similarly 3.03 per cent. Biliary fistulas as postoperative complications are noted in 4.5 per cent, and recurrences in the late postoperative period--in 1.5 per cent. The clinical relevance of the diagnostic methods used, and the indications for performing various operative procedures are discussed. The early and long-term postoperative results are assayed against the background of current literature reports on the issue.
对1984年至1994年期间在肝胆胰外科诊所接受手术的137例棘球蚴病患者进行了分析，其中132例（96.3%）病变位于肝脏。在接受手术的患者中，右侧病变占59.1%，左侧病变占26.5%，双侧病变占14.4%。18.2%的病例为多发病变，27.3%的病例病程复杂。56.1%的患者采用保守手术方法，18.9%采用混合手术方法，25%采用根治性手术方法。该系列患者的总死亡率为3.03%；接受根治性手术的患者死亡率为0%，术后出现严重并发症需要再次剖腹手术的患者死亡率同样为3.03%。术后并发症中胆瘘的发生率为4.5%，术后晚期复发率为1.5%。讨论了所用诊断方法的临床相关性以及进行各种手术的指征。根据当前关于该问题的文献报道，分析了早期和长期术后结果。
