肝棘球蚴病的治疗体会

R. Shyla, E. Mogilevets, K. S. Belyuk, I. G. Zhuk, O. S. Soroka, A. A. Denischik
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引用次数: 0

摘要

背景肝棘球蚴病是由细粒棘球蚴引起的一种寄生性肝病。这种病理的手术策略的选择仍然具有挑战性。客观的分析肝棘球蚴病患者的手术疗效。材料和方法。2012年至2022年,27名肝棘球蚴病患者在“格罗德诺大学诊所”接受治疗。所有患者都接受了广泛的诊断评估,包括复杂的实验室和仪器诊断方法以及手术。后果所有患者均接受了切除术,包括腹腔镜切除术(25.9%)。没有记录到术后并发症和致命结果。结论。肝棘球蚴病患者应转诊至地区或共和国的专科医院。有必要对患者的腹腔和胸腔以及大脑进行CT检查,以寻找其他病灶。应优先考虑微创手术技术。棘球蚴病血清学检测呈阴性并不排除患者体内存在寄生虫引起的病变。手术中的全血管隔离技术更适合切除侵入性生长到附近大血管的肝囊肿。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EXPERIENCE IN THE TREATMENT OF LIVER ECHINOCOCCOSIS
Background. Liver echinococcosis is a parasitic liver disease caused by Echinococcus granulosus. The choice of surgical strategy for this pathology remains challenging. Objective. To analyze the received surgical outcomes in patients with liver echinococcosis. Material and methods. From 2012 to 2022, 27 patients with liver echinococcosis were treated in “Grodno University Clinic”. All patients underwent an extensive diagnostic evaluation that included a complex of laboratory and instrumental diagnostic methods as well as surgery. Results. All the patients underwent resections, including laparoscopic ones (25.9%). No post-operative complications and fatal outcomes were recorded. Conclusions. Patients with liver echinococcosis should be referred to specialized regional or republican hospitals. It is necessary that patients should undergo CT of the abdominal and chest cavities as well of the brain in search for additional foci. Preference should be given to minimally invasive surgical techniques. Negative serology test to echinococcosis does not rule out the presence of a parasite-induced lesions in a patient. The technique of total vascular isolation during surgery is preferable for resection of liver cysts with invasive growth into nearby large vessels.
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