Aktan A O, Yalin R, Yeğen C, Okboy N
Marmara University Hospital, General Surgery, Istanbul, Turkey.
Acta Chir Belg. 1993 Jul-Aug;93(4):151-3.
Ninety-two surgical procedures were carried out in 82 patients with 92 hepatic hydatid cysts. The most common complication of the hydatid cyst was biliary rupture (17.3%) followed by infection of the cyst cavity (5.4%). Omentoplasty was carried out for uncomplicated cysts (38.0%) with a low morbidity (14.2%) and short hospital stay (mean 12.8 days). External tube drainage was carried out in 30.5% of patients. The morbidity rate was 67.8% and the mean hospital stay was 19.8 days. No single method can be recommended for the treatment of hepatic hydatid cysts but the choice of the surgical method must be made according to the complications of the cyst. Omentoplasty is the procedure of choice for uncomplicated cysts with a low complication rate and relatively short hospital stay. External tube drainage is recommended for infected cysts and a biliary drainage procedure must be added to external tube drainage for cysts with intrabiliary rupture.
对82例患有92个肝包虫囊肿的患者实施了92例外科手术。包虫囊肿最常见的并发症是胆瘘（17.3%），其次是囊肿腔感染（5.4%）。对无并发症的囊肿实施了网膜成形术（38.0%），其发病率较低（14.2%），住院时间较短（平均12.8天）。30.5%的患者实施了外引流管引流。发病率为67.8%，平均住院时间为19.8天。对于肝包虫囊肿的治疗，无法推荐单一的方法，而是必须根据囊肿的并发症来选择手术方法。网膜成形术是无并发症囊肿的首选手术，并发症发生率低，住院时间相对较短。对于感染的囊肿，建议采用外引流管引流，对于伴有胆内瘘的囊肿，在外引流管引流的基础上必须增加胆道引流手术。
