Khoury G, Jabbour-Khoury S, Soueidi A, Nabbout G, Baraka A
Department of Surgery, American University of Beirut Medical Center, PO Box 113-6044, Beirut, Lebanon.
Surg Endosc. 1998 May;12(5):452-4. doi: 10.1007/s004649900703.
Hydatid cysts of the liver have been treated surgically for many years by several surgical techniques including evacuation, marsupialization, and filling the cyst with saline after evacuation of the endocyst. We have previously reported laparoscopic treatment of hydatid cysts using the same hydatid asepsis and surgical techniques as in open surgery, with comparable results. Spillage of hydatid fluid during open surgery has been shown to result in serious anaphylactic reaction. The present report describes the first case report of such a reaction during laparoscopic treatment of hydatid cyst of the liver.
多年来，肝包虫囊肿一直通过多种外科技术进行手术治疗，包括囊肿内容物排空术、袋形缝术以及在内囊排空后向囊肿内注入生理盐水。我们之前曾报道过，采用与开放手术相同的包虫无菌技术和外科技术进行腹腔镜治疗肝包虫囊肿，结果相当。开放手术过程中包虫液的溢出已被证明会导致严重的过敏反应。本报告描述了首例在腹腔镜治疗肝包虫囊肿过程中发生此类反应的病例。
