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晚期肝泡型包虫病的外科治疗:5例报告

Surgical treatment of advanced alveolar hydatid disease of the liver: a report of five cases.

作者信息

Bengisun U, Tunç G, Kesenci M, Kuzu I, Demirci S, Aliç B

机构信息

Department of Surgery, Ankara University School of Medicine, Ibn-i Sina Hospital, Turkey.

出版信息

Surg Today. 1997;27(3):261-5. doi: 10.1007/BF00941658.

DOI:10.1007/BF00941658
PMID:9068111
Abstract

We report herein the cases of five patients with alveolar hydatid disease (AHD) of the liver who were diagnosed and underwent surgery at the Department of Surgery of Ankara University between 1989 and 1994. In all five patients, the final diagnosis was established by frozen section of the lesion during laparotomy. Lesions of AHD were found only in the liver. Hepatic resections including right lobectomy and segmentectomy were performed in three patients while palliative procedures were carried out in the remaining two patients with unresectable disease. There was no operative mortality, and only one late death occurred 3 years after the hepatic resection. In this paper, we present the clinical and operative findings of these five patients and their outcomes, followed by a review of the surgical treatment of AHD.

摘要

我们在此报告1989年至1994年间在安卡拉大学外科确诊并接受手术的5例肝泡型包虫病(AHD)患者的病例。所有5例患者均在剖腹手术中通过病变的冰冻切片确诊。AHD病变仅见于肝脏。3例患者行包括右叶切除术和肝段切除术在内的肝切除术,其余2例无法切除病变的患者则行姑息性手术。无手术死亡病例,仅1例患者在肝切除术后3年出现晚期死亡。本文介绍了这5例患者的临床和手术发现及其结果,随后对AHD的外科治疗进行了综述。

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Surgical treatment of advanced alveolar hydatid disease of the liver: a report of five cases.晚期肝泡型包虫病的外科治疗:5例报告
Surg Today. 1997;27(3):261-5. doi: 10.1007/BF00941658.
2
Alveolar hydatid disease of the liver: a report on thirty-nine surgical cases in eastern Anatolia, Turkey.肝脏肺泡状棘球蚴病:土耳其东安纳托利亚地区39例外科手术病例报告
Am J Trop Med Hyg. 1991 Aug;45(2):182-9. doi: 10.4269/ajtmh.1991.45.182.
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[Simultaneous combined radical surgery for hepatic and renal alveolar echinococcosis: an analysis of 10 clinical cases].[肝和肾泡型包虫病同期联合根治性手术:10例临床病例分析]
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Is alveolar hydatid disease of the liver incurable?肝脏肺泡状棘球蚴病无法治愈吗?
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[Cystopericystectomy for the treatment of hepatic hydatid disease].
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Palliative operation for the treatment of alveolar echinococcosis.用于治疗肺泡型棘球蚴病的姑息性手术。
Langenbecks Arch Surg. 2009 Jan;394(1):199-204. doi: 10.1007/s00423-008-0367-6. Epub 2008 Jun 25.
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Musculoskeletal and adipose tissue hydatidosis based on the iatrogenic spreading of cystic fluid during surgery: report of a case.

本文引用的文献

1
Differential serodiagnosis of alveolar and cystic hydatid disease in the People's Republic of China.中华人民共和国肺泡型和囊型包虫病的鉴别血清学诊断
Am J Trop Med Hyg. 1993 Aug;49(2):208-13. doi: 10.4269/ajtmh.1993.49.208.
2
Alveolar hydatid disease. A review of clinical features of 33 indigenous cases of Echinococcus multilocularis infection in Alaskan Eskimos.肺泡型包虫病。阿拉斯加爱斯基摩人33例多房棘球绦虫感染本土病例的临床特征综述。
Am J Trop Med Hyg. 1980 Nov;29(6):1340-55.
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Pulmonary involvement by Echinococcus alveolaris.肺泡型棘球蚴病的肺部受累情况。
基于手术中囊液医源性播散的肌肉骨骼和脂肪组织包虫病:一例报告
Surg Today. 2000;30(10):947-9. doi: 10.1007/s005950070052.
Radiology. 1980 Oct;137(1 Pt 1):37-41. doi: 10.1148/radiology.137.1.7422858.
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Is alveolar hydatid disease of the liver incurable?肝脏肺泡状棘球蚴病无法治愈吗?
Ann Surg. 1980 Jul;192(1):118-23. doi: 10.1097/00000658-198007000-00021.
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Computed tomographic diagnosis of Echinococcus alveolaris.泡型棘球蚴病的计算机断层扫描诊断
Hepatogastroenterology. 1983 Jun;30(3):83-5.
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Alveolar echinococcosis of the liver; studies on 60 operated cases.肝脏泡型包虫病;60例手术病例研究
Ann Surg. 1980 Feb;191(2):145-52. doi: 10.1097/00000658-198002000-00003.
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Hepatic alveolar echinococcosis: correlative US and CT study.
Radiology. 1985 Jan;154(1):179-86. doi: 10.1148/radiology.154.1.3880602.
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Echinococcosis multilocularis in Turkey.土耳其的多房棘球绦虫病
J Trop Med Hyg. 1986 Oct;89(5):249-55.
9
Orthotopic liver transplantation in alveolar echinococcosis of the liver: analysis of a series of six patients.肝泡型包虫病的原位肝移植:6例患者系列分析
Transplant Proc. 1988 Feb;20(1 Suppl 1):573-6.
10
Alveolar hydatid disease of the liver: a report on thirty-nine surgical cases in eastern Anatolia, Turkey.肝脏肺泡状棘球蚴病:土耳其东安纳托利亚地区39例外科手术病例报告
Am J Trop Med Hyg. 1991 Aug;45(2):182-9. doi: 10.4269/ajtmh.1991.45.182.