Kama N A, Sahin M, Göçmen E, Bayrak M, Kulaçoğlu H, Akat A Z
Department of Surgery, Ankara Numune Hospital, Turkey.
J R Coll Surg Edinb. 1998 Aug;43(4):254-6.
Fifty-nine consecutive patients who underwent surgery for hepatic hydatid cysts between 1 March 1988 and 31 July 1994, were included in this study. The aim was to compare the results of surgical techniques with respect to post-operative complications, morbidity and recurrence of the disease. Patients were divided into two groups. The first group (1) of patients (n = 30) were treated surgically without drainage and the second group (2) of patients (n = 29) were treated surgically with tube drainage of the cystic cavity. In the study, there were 12 (20.33%) male and 47 (79.66%) female patients, with an age range of between 16 and 85 years. In five of the patients a communication between the cyst and the biliary system was documented. 11.8% of the cysts were localized extrahepatically. Post-operative morbidity was 10% in group 1 and 44.7% in group 2 (P < 0.05). Average post-operative hospital stay was 8.5 days in group 1 and 18.6 days in group 2 (P < 0.05). During the follow-up period, which lasted from 1 to 6 years, recurrence rates were not significantly differentiated in the two groups (P > 0.05).
1988年3月1日至1994年7月31日期间连续59例接受肝包虫囊肿手术的患者纳入本研究。目的是比较手术技术在术后并发症、发病率和疾病复发方面的结果。患者分为两组。第一组（1组）患者（n = 30）接受了无引流的手术治疗，第二组（2组）患者（n = 29）接受了囊肿腔置管引流的手术治疗。本研究中，男性患者12例（20.33%），女性患者47例（79.66%），年龄在16岁至85岁之间。5例患者记录到囊肿与胆道系统相通。11.8%的囊肿位于肝外。1组术后发病率为10%，2组为44.7%（P < 0.05）。1组术后平均住院时间为8.5天，2组为18.6天（P < 0.05）。在为期1至6年的随访期间，两组的复发率无显著差异（P > 0.05）。
