Operative treatment of hepatic hydatid cysts: a single center experience in Israel, a nonendemic country.

ISRN surgery Pub Date : 2013-09-23 eCollection Date: 2013-01-01 DOI:10.1155/2013/276807
Daniel Maoz, Franklin Greif, Jacob Chen
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引用次数: 5

Abstract

Background. Hydatid cyst disease is a zoonosis caused by Echinococcus genera. The disease is endemic to certain rural areas in the world. Operative treatment is the main component in curing hydatid cysts of the liver. Objective. Describing the unique characteristics of the hydatid cyst patients in Israel, a nonendemic country. Methods. Data was collected form 29 patients treated operatively in Rabin Medical Center from 1994 to 2007. Results. The study included 18 females and 11 males with an average age of 54.9 years. Fifty-two% of the patients immigrated as children from Arab countries to Israel, 21% were Arab-Israelis leaving in the north and center of Israel, and 24% immigrated from the former Communist Bloc. Pericystectomy was performed in 20/29, and cyst unroofing was performed in 9/29. Hydatid cysts average size was 10.7 cm, and the cysts were located in the right or left or involved both lobes in 62%, 28%, and 10% of the lesions, respectively. Postoperative mortality occurred in one case, and severe morbidity occurred in 4 patients. Conclusions. Hydatid cyst disease in Israel is uncommon and is mostly seen in distinct 3 demographic groups. Despite the relatively low patient volume, good results in terms of morbidity, mortality, and recurrence were achieved.

肝包虫病的手术治疗:在以色列,一个非地方性国家的单中心经验。
背景。包虫病是一种由棘球绦虫属引起的人畜共患病。这种疾病是世界上某些农村地区的地方病。手术治疗是治疗肝包虫病的主要方法。目标。描述了包虫病患者在以色列,一个非地方性国家的独特特点。方法。资料收集自1994年至2007年在拉宾医疗中心接受手术治疗的29例患者。结果。该研究包括18名女性和11名男性,平均年龄为54.9岁。52%的患者在儿童时期从阿拉伯国家移民到以色列,21%是离开以色列北部和中部的阿拉伯裔以色列人,24%是来自前共产主义集团的移民。20/29行包膜切除术,9/29行囊肿去顶术。包虫囊肿平均大小为10.7 cm,囊肿位于右侧、左侧或累及双叶的比例分别为62%、28%和10%。术后死亡1例,重度发病4例。结论。包虫病在以色列并不常见,主要见于不同的人口群体。尽管患者数量相对较少,但在发病率、死亡率和复发率方面取得了良好的结果。
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