Hernando E, García Calleja J L, Córdoba E, Lahuerta L, del Río F, Ferreira V
Servicio de Cirugía General y Digestiva B, Hospital Miguel Servet, Zaragoza.
Gastroenterol Hepatol. 1996 Mar;19(3):140-5.
A retrospective study of 677 patients who underwent surgery for hepatic hidatidosis in the Department of Surgery A and B of the Hospital Miguel Servet in Zaragoza, Spain, over the last 21 years is presented. The frequency was analyzed in regards to sex, age, symptomatology, cyst data, surgical techniques performed and postoperative morbidity. The mean age of the patients was 39 years with the incidence being practically equal in both sexes. Dyspeptic symptoms (60%), hepatomegaly and/or palpable mass in the right hypochondria (58%) and pain (46%) were the most frequent clinical signs and symptoms observed. Radical surgery was performed in 21% of all the surgical treatments, while conservative surgery was undergone in 79%. Solitary cysts were most frequent (65.7%) with localization in the right hepatic lobe (65.4%). The most frequent postoperative complication was biliary fistula (72 cases). The rate of reintervention was 18% and operative mortality 1.6% with a mean hospitalization period of 25 days.
本文呈现了一项针对西班牙萨拉戈萨米格尔·塞尔维特医院外科A和B科室过去21年中接受肝包虫病手术的677例患者的回顾性研究。分析了患者的性别、年龄、症状、囊肿数据、所采用的手术技术及术后发病率。患者的平均年龄为39岁，男女发病率几乎相等。消化不良症状（60%）、肝肿大和/或右季肋部可触及肿块（58%）以及疼痛（46%）是观察到的最常见临床体征和症状。在所有手术治疗中，21%进行了根治性手术，79%进行了保守手术。孤立性囊肿最为常见（65.7%），位于右肝叶（65.4%）。最常见的术后并发症是胆瘘（72例）。再次干预率为18%，手术死亡率为1.6%，平均住院时间为25天。
