Management of residual cavity after partial cystectomy for hepatic hydatidosis: comparison of omentoplasty with external drainage.

The European journal of surgery = Acta chirurgica Pub Date : 2000-09-01 DOI:10.1080/110241500750008448

I D Ozacmak, F Ekiz, V Ozmen, A Isik

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引用次数: 39

Abstract

Objective: To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts.

Design: Prospective study.

Setting: University and teaching hospital, Turkey.

Subjects: 108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995.

Intervention: Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size.

Main outcome measures: Morbidity, mortality, and hospital stay.

Results: The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty.

Conclusion: Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.

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肝包虫病部分膀胱切除术后残留腔的处理:网膜成形术与体外引流术的比较。

目的:探讨两种入路在肝包虫囊肿手术治疗中的作用。设计:前瞻性研究。地点:土耳其大学和教学医院。对象:1990年至1995年间在两家诊所接受手术治疗的108例单纯性包虫病患者。干预措施:单个大于5cm的无并发症包囊，部分膀胱切除术后的内陷和网膜成形术或外部引流。主要结局指标:发病率、死亡率和住院时间。结果:内伸和网膜成形术后的平均住院时间为8天(范围3 ~ 15天)，明显短于外引流后的12天(范围7 ~ 20天)。术后并发症发生率为2/35，引流组为17/73 (p = 0.03)。内陷和网膜成形术后死亡1例。结论:单纯性包囊部分切除术后内伸网膜成形术并发症明显少于外引流术，且患者出院时间较早。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The European journal of surgery = Acta chirurgica

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