Treatment of Complicated Hepatic Cystic Hydatidosis with Intrabiliary Rupture by Pericystectomy in Combination with Roux-en-Y Hepaticojejunostomy
10.1007/s11596-012-0036-4
- Author:
YANG HONGQIANG
1
,
2
;
TANG JINGXIA
;
PENG XINYU
;
ZHANG SHIJIE
;
SUN HONG
;
LV HAILONG
;
LI JIANG
;
CHEN XIAOPING
Author Information
1. Center of Hepatic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
2. Department of Hepatobiliary Surgery,the First Affiliated Hospital of the Medical College,Shihezi University,Shihezi 832000,China
- Keywords:
hepatic cystic hydatidosis;
intrabiliary rupture;
pericystectomy;
hepaticojejunostomy
- From:
Journal of Huazhong University of Science and Technology (Medical Sciences)
2012;32(2):205-209
- CountryChina
- Language:Chinese
-
Abstract:
This study retrospectively reviewed 9 cases of complicated hepatic cystic hydatidosis with intrabiliary rupture who were surgically treated with pericystectomy in combination with Roux-en-Y hepaticojejunostomy in our hospital from 2004 to 2010.The clinical features,results of laboratory tests,B-mode ultrasonography and CT,post-operative recovery,days of hospital stay after the operation and post-operative complications were statistically analyzed and the patients were followed up.The subjects in our series included 7 males and 2 females,whose average age was 50.78±7.58 years.Before operation,9 patients suffered from pain of the right upper quadrant and jaundice,which,in 4 cases (44.45％),were accompanied with fever and chills.Preoperative B-mode ultrosonography and CT showed that all the 9 patients had single hydatid cyst,with their diameter being 9.33± 1.58 cm on average.The lesions involved segments V,Ⅵ in 6 cases,and segment Ⅵin 3 cases.By WHO classification,7 cases were classified as CE3 and 2 cases as CE4.They all had choledochectasia.The subjects underwent the surgery uneventfully.Intraoperatively,2-4 biliary fistula orifices were found,with the average of the orifice being (0.79±0.20) cm.After the operation,one patient developed incision infection,one had pulmonary infection and one suffered from reflux cholangitis.No anastomotic leaks or peri-operative deaths took place and follow-up revealed no recurrence and implantative metastasis.We are led to conclude that pericystectomy in combination with Roux-en-Y hepaticojejunostomy can achieve satisfactory results for the treatment of complicated hepatic cystic hydatidosis with intrabiliary rupture.
