Alper A, Emre A, Hazar H, Ozden I, Bilge O, Acarli K, Arioğul O
Department of General Surgery, Istanbul Faculty of Medicine, Turkey.
World J Surg. 1995 Sep-Oct;19(5):725-8; discussion 728. doi: 10.1007/BF00295914.
Surgery is the main modality in the treatment of hepatic hydatid disease. In this report, a laparoscopic surgical method is described, and the results in the first 16 cases are presented. The method involves the use of an aspirator-grinder apparatus that achieves effective evacuation of viable cyst contents with the patient benefiting from the laparoscopic approach. Cavity infection occurred in two patients and was treated conservatively. In another patient, postoperative ultrasonography revealed a thick-walled cavity containing a dense fluid. Because the patient was symptomatic, pericystectomy was performed during the sixth postoperative month. Early postoperative parameters and the early follow-up results in other patients (2-17 months) are encouraging. The method is particularly suitable for uncomplicated, early-stage cysts located in laparoscopically accessible locations.
手术是治疗肝包虫病的主要方式。在本报告中，描述了一种腹腔镜手术方法，并展示了前16例患者的治疗结果。该方法使用了一种抽吸研磨设备，可有效排空活囊内容物，患者得益于腹腔镜手术方式。两名患者发生了腔隙感染，采用保守治疗。另一名患者术后超声检查显示有一个厚壁腔隙，内含浓稠液体。由于该患者有症状，在术后第六个月进行了囊肿外膜切除术。其他患者（2 - 17个月）的术后早期参数和早期随访结果令人鼓舞。该方法特别适用于位于腹腔镜可及部位的无并发症早期囊肿。
