The evaluation of total cystectomy for treatment of hepatic cystic echinococcosis.
- Author:
Jin-yu YANG
1
;
Xin-min WU
;
Quan LIAO
;
Wei-fan XIN
;
Yu-pei ZHAO
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Child; Cystectomy; methods; Echinococcosis, Hepatic; surgery; Female; Follow-Up Studies; Humans; Length of Stay; Male; Middle Aged; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2006;44(23):1624-1625
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the application of total-cystectomy in the hepatic cystic echinococcosis (HCE).
METHODSAn retrospective analysis was made in 223 cases of HCE. The observation targets included the days post operative, blood loss during operation, complications of residual cavity and local recurrence. The patients were divided into two groups: cyst-resection group and cyst ectomy group. The cyst-resection group was divided into two sub-groups, per cystectomy group and liver resection group.
RESULTSThe incidences of residual cavity and local recurrence in the cyst-resection group were lower than that in the cystectomy group (P < 0.01). The incidences of blood loss and average days in ward in the per cystectomy group were lower than that in partial liver resection group (P < 0.01).
CONCLUSIONSHCE can decrease the complication of liver residual cavity and local recurrence effectively, total cystectomy should be selected as first procedures for treatment of hepatic cystic echinococcosis.