Vagianos C E, Karavias D D, Kakkos S K, Vagenas C A, Androulakis J A
Department of Surgery, University of Patras Medical School, Greece.
Eur J Surg. 1995 Jun;161(6):415-20.
To examine the morbidity, mortality and recurrence rate after a modified conservative operation in the treatment of hepatic hydatidosis.
Prospective open study.
University hospital, Greece.
67 Consecutive patients with hepatic hydatidosis, operated on between 1985 and 1990.
The liver was mobilised and abdominal cavity isolated with pads soaked in 15% saline solution. Hydatid fluid was aspirated from the cysts which were widely deroofed, sterilised with 15% saline, and then oversewn with a braided absorbable suture. Drains were left in place and a third of patients also had omentoplasty (n = 22).
Morbidity, mortality and recurrence rate.
One patient died (1%), 4 developed complications (6%), and there were 3 recurrences (6%). It made no difference whether an omentoplasty was added or not.
Conservative surgery achieves satisfactory results in the treatment of hepatic hydatidosis.
探讨改良保守手术治疗肝包虫病后的发病率、死亡率及复发率。
前瞻性开放性研究。
希腊大学医院。
1985年至1990年间连续收治的67例肝包虫病患者。
游离肝脏，用浸有15%盐水溶液的垫子隔离腹腔。从囊肿中抽出包虫液，广泛切除囊肿顶部，用15%盐水消毒，然后用编织可吸收缝线缝合。留置引流管，三分之一的患者还进行了网膜成形术（n = 22）。
发病率、死亡率及复发率。
1例患者死亡（1%），4例发生并发症（6%），3例复发（6%）。是否进行网膜成形术并无差异。
保守手术治疗肝包虫病取得了满意的效果。
