Current status and progress of surgical treatment for alveolar echinococcosis
10.3760/cma.j.cn231583-20211130-00389
- VernacularTitle:泡型包虫病手术治疗的现状与进展
- Author:
Qunke TANG
1
;
Ying ZHANG
;
Weina ZHANG
Author Information
1. 解放军联勤保障部队第941医院普通外科，西宁 810007
- Keywords:
Alveolar echinococcosis;
Surgical treatment;
Liver
- From:
Chinese Journal of Endemiology
2023;42(10):857-860
- CountryChina
- Language:Chinese
-
Abstract:
The surgical treatment methods for alveolar echinococcosis include radical resection (radical hepatectomy), palliative resection (palliative hepatectomy), and autologous and allogeneic liver transplantation. Radical hepatectomy is the most effective treatment method for alveolar echinococcosis. However, due to the lack of obvious symptoms in the early stages of alveolar echinococcosis, most patients are already in the middle and late stages of treatment, losing the opportunity for radical resection. Palliative hepatectomy for the treatment of alveolar echinococcosis is related to the prognosis and residual lesion volume, the efficacy of removing more than 90% of the lesion and continuously taking albendazole is almost equivalent to that of radical resection. For patients with alveolar echinococcosis who are no longer resectable and have no brain metastasis, allogeneic or autologous liver transplantation is feasible, and continuous treatment with albendazole is recommended after surgery. This article reviews the current status and progress of surgical treatment for alveolar echinococcosis, in order to provide reference for the correct surgical selection of alveolar echinococcosis.
