Giordano G, Grimaldi F, Carrassa G, Ialongo P, D'Abbicco D, Ventolone R, Cafagna L, Carbonara G
Istituto Policattedra di Chirurgia D'Urgenza e Chirurgia Plastica, Università degli Studi di Bari.
G Chir. 1995 May;16(5):213-8.
The Authors report their fifteen years experience in the surgical treatment of hepatic hydatid cysts. They emphasize the difference in the incidence of radical procedures (pericystectomy and hepatic resections) registered in the two periods examined (1980-83 and 1987-93), stressing the role of current diagnostic imaging techniques and improved surgical procedures which allow to perform standard operations for a radical treatment of hepatic hydatid cysts. Total pericystectomy is considered the procedure of choice; rarely it can't be performed (high vascular risk in central cysts located between portal and hepatic veins) and consequently subtotal pericystectomy or conservative treatment are the only possible procedures. Hepatic resection is preferred in case of multiple cysts involving the same lobe or when a giant hydatid cyst replaces the lobe. A further therapeutical resource--in radical procedures--is offered by the use of antihelminth drugs with marked antiparasitic action (albendazole).
作者报告了他们在肝包虫囊肿外科治疗方面15年的经验。他们强调了在两个检查时间段（1980 - 1983年和1987 - 1993年）中记录的根治性手术（囊肿切除术和肝切除术）发生率的差异，强调了当前诊断成像技术和改进的手术方法的作用，这些技术和方法使得对肝包虫囊肿进行根治性治疗的标准手术得以实施。全囊肿切除术被认为是首选手术；很少情况下无法进行（位于门静脉和肝静脉之间的中央囊肿血管风险高），因此次全囊肿切除术或保守治疗是唯一可行的方法。当多个囊肿累及同一肝叶或巨大包虫囊肿取代肝叶时，首选肝切除术。在根治性手术中，使用具有显著抗寄生虫作用的抗蠕虫药物（阿苯达唑）提供了另一种治疗手段。
