同期手术治疗并存的肺和肝包虫囊肿：一种治疗方式。
Simultaneous operation for coexisting lung and liver hydatid cysts: a treatment modality.
作者信息
Yoruk Y, Yalcinkaya S, Coskun I, Ekim T, Kose S, Mehmet R
机构信息
Department of Thoracic Surgery, Trakya University Medical Faculty, Edirne, Turkey.
出版信息
Hepatogastroenterology. 1998 Sep-Oct;45(23):1831-2.
BACKGROUND/AIMS: Hydatid disease is very common in our region. Whether or not coexisting cysts of lung and liver should be operated on simultaneously is a challenging question.
METHODOLOGY
Of 127 patients operated on for hydatid cysts of the lung between 1990 and 1995, 23 (18%) had coexisting hydatid cysts of the right lung and liver. There were 12 male and 11 female patients with an average age of 34 years.
RESULTS
All patients had simultaneous operations for both organs via right thoracotomy with an incision in the diaphragm (phrenotomy). In the lung, cystotomy and capitonnage were performed in 21 patients and wedge resection in 2; in the liver, cystotomy and capitonnage were performed in all 23 patients. No hospital mortality occurred.
CONCLUSION
Coexisting hydatid cysts of the right lung and liver should be surgically treated simultaneously.
背景/目的：包虫病在我们地区非常常见。肺和肝脏同时存在囊肿是否应同时进行手术是一个具有挑战性的问题。
方法
在1990年至1995年间接受肺包虫囊肿手术的127例患者中，23例（18%）同时存在右肺和肝脏的包虫囊肿。有12名男性和11名女性患者，平均年龄为34岁。
结果
所有患者均通过右胸切开术并在膈肌处做切口（膈切开术）对两个器官同时进行手术。在肺部，21例患者进行了囊肿切开术和囊内翻缝合术，2例进行了楔形切除术；在肝脏，所有23例患者均进行了囊肿切开术和囊内翻缝合术。无医院死亡病例发生。
结论
右肺和肝脏同时存在的包虫囊肿应同时进行手术治疗。
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