Analysis on efficacy and safety of complete excision of the external capsule in the treatment of hepatic echinococcosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

MA Zhi ^1,2 , WEI Gengfu ^1,2 , SHI Yiyang ^1,2 ,  CHEN Zheyu ^2,3

1. Department of Hepatobiliary Surgery, Hydatid Treatment Center, Ganzi Tibetan Autonomous Prefecture People’s Hospital, Kangding, Sichuan 626000, P. R. China;
2. Sichuan Clinical Research Center for Hydatidosis, Kangding, Sichuan 626000, P. R. China;
3. Department of Liver And Vascular Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

CHEN Zheyu, Email: chenzheyu71@163.com

Keywords：

hepatic cystic echinococcosis; complete excision of the external capsule; efficacy; safety; partial hepatectomy

DOI：

10.7507/1007-9424.201911083

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the efficacy and safety of complete excision of the external capsule in the treatment of hepatic echinococcosis.Methods The clinical data of 90 patients with hepatic cystic echinococcosis admitted to our hospital from January 2016 to March 2018 were retrospectively analyzed. According to the different surgical methods, this patients were divided into two groups: the partial hepatectomy group and complete excision of the external capsule group, 45 cases in each group. The patient's general condition and the situation during hospitalization were analyzed, and the intraoperative conditions, postoperative complications, recurrence and mortality after one year in different surgical methods were compared.Results The operative time and intraoperative blood loss in the partial hepatectomy group was significantly longer or more than that in the complete excision of the external capsule group (P<0.05), respectively. There was no significant difference between the two groups in hospitalization time (P>0.05). The incidence of postoperative complications was 11.11% in the partial hepatectomy group and 8.88% in the complete excision of the external capsule group. There was no significant difference between the two groups (P>0.05). After 1 year of followed-up, the recurrence rate of the partial hepatectomy group was 4.44%, and there was no recurrence in the complete excision of the external capsule group, and there was no significant difference between the two groups (P>0.05). There was no death in both groups.Conclusions In the surgical treatment of hepatic cystic echinococcosis, the most appropriate surgical method should be selected according to the specific conditions of the patient, and the complete excision of the external capsule has higher therapeutic effect and safety in the treatment of hepatic echinococcosis. It is worthy of clinical promotion.

Citation： MA Zhi, WEI Gengfu, SHI Yiyang, CHEN Zheyu. Analysis on efficacy and safety of complete excision of the external capsule in the treatment of hepatic echinococcosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(1): 34-37. doi: 10.7507/1007-9424.201911083 Copy

1.	溫浩. 包蟲病學. 北京: 人民衛生出版社, 2015: 起-止頁.
2.	陳哲宇. 泡型肝包蟲病的外科治療現狀. 中國普外基礎與臨床雜志, 2016, 23(5): 513-516.
3.	溫浩, 邵英梅, 趙晉明, 等. 兩型肝包蟲病手術療效 547 例臨床分析. 中華消化外科志, 2007, 6(1): 13-18.
4.	母齊鳴, 賀偉, 侯桂敏, 等. 腹腔鏡分別聯合肝包蟲內囊摘除術與解剖性肝切除治療肝包蟲病的臨床療效分析. 實用醫院臨床雜志, 2018, 15(3): 58-60.
5.	吳綱, 潘洪帥, 趙占學, 等. 四種不同手術方式治療肝包蟲病患者合并術后膽漏的療效評價. 現代生物醫學進展, 2018, 18(15): 2942-2945.
6.	馬雅麗, 陳曉霞, 侯文文, 等. 囊型肝包蟲病的多排螺旋CT診斷及術前影像檢查的術前指導價值. 武警醫學, 2018, 29(2): 120-123.
7.	任利, 胡濤, 鄧勇, 等. 經內鏡逆行胰膽管造影治療泡型肝包蟲病合并梗阻性黃疸的有效性分析. 中華消化內鏡雜志, 2016, 33(11): 795-797.
8.	張子龍, 張靜妮. 2012-2016年青海省包蟲病住院病例回顧調查分析. 現代預防醫學, 2017, 44(13): 2439-2443.
9.	阿依甫汗·阿汗, 哈麗婭, 李海濤, 等. 快速康復外科技術在肝囊型包蟲病患者中的應用. 中華普通外科雜志, 2016, 31(9): 780-781.
10.	王冠, 羅蘭云, 鄒海波, 等. 中晚期肝泡型包蟲病36例手術治療體會. 中國普外基礎與臨床雜志, 2016, 23(11): 1379-1383.
11.	母齊鳴, 賀偉, 侯桂敏, 等. 腹腔鏡解剖性肝切除與常規開腹肝切除術治療肝包蟲病的療效分析. 實用醫院臨床雜志, 2018, 15(2): 131-133, 134.
12.	劉學軍, 木尼熱丁·艾則孜, 張新龍, 等. 加速康復外科理念用于肝囊型肝包蟲病外囊剝離手術治療的效果觀察. 浙江醫學, 2018, 40(5): 475-478.
13.	張丹, 宋九林, 楊平, 等. 不同手術方式治療對高原地區肝包蟲病患者圍術期指標及術后復發率的影響. 局解手術學雜志, 2019, 28(3): 212-215.
14.	阿吉德, 柴金萍, 王皓, 等. 青海地區肝囊性包蟲病術后IL-11、TNF-a、iNOS的變化及烏司他丁干預作用的臨床研究. 新疆醫科大學學報, 2019, 42(1): 111-115, 119.
15.	潘汝翀, 張發斌, 程時磊, 等. 砂生槐生物堿治療繼發性小鼠肝包蟲病的實驗研究. 中國病原生物學雜志, 2018, 13(3): 254-258.
16.	趙海蓉. 高原地區2例終末期泡型肝包蟲病自體肝移植術圍無肝期血流動力學變化的臨床觀察與護理. 貴州醫藥, 2019, 22(3): 483-484.
17.	陳克霏, 唐友銀, 賈貴清, 等. 復雜泡型肝包蟲根治性肝切除的MDT討論. 中國普外基礎與臨床雜志, 2018, 25(1): 77-82.

1. 溫浩. 包蟲病學. 北京: 人民衛生出版社, 2015: 起-止頁.
2. 陳哲宇. 泡型肝包蟲病的外科治療現狀. 中國普外基礎與臨床雜志, 2016, 23(5): 513-516.
3. 溫浩, 邵英梅, 趙晉明, 等. 兩型肝包蟲病手術療效 547 例臨床分析. 中華消化外科志, 2007, 6(1): 13-18.
4. 母齊鳴, 賀偉, 侯桂敏, 等. 腹腔鏡分別聯合肝包蟲內囊摘除術與解剖性肝切除治療肝包蟲病的臨床療效分析. 實用醫院臨床雜志, 2018, 15(3): 58-60.
5. 吳綱, 潘洪帥, 趙占學, 等. 四種不同手術方式治療肝包蟲病患者合并術后膽漏的療效評價. 現代生物醫學進展, 2018, 18(15): 2942-2945.
6. 馬雅麗, 陳曉霞, 侯文文, 等. 囊型肝包蟲病的多排螺旋CT診斷及術前影像檢查的術前指導價值. 武警醫學, 2018, 29(2): 120-123.
7. 任利, 胡濤, 鄧勇, 等. 經內鏡逆行胰膽管造影治療泡型肝包蟲病合并梗阻性黃疸的有效性分析. 中華消化內鏡雜志, 2016, 33(11): 795-797.
8. 張子龍, 張靜妮. 2012-2016年青海省包蟲病住院病例回顧調查分析. 現代預防醫學, 2017, 44(13): 2439-2443.
9. 阿依甫汗·阿汗, 哈麗婭, 李海濤, 等. 快速康復外科技術在肝囊型包蟲病患者中的應用. 中華普通外科雜志, 2016, 31(9): 780-781.
10. 王冠, 羅蘭云, 鄒海波, 等. 中晚期肝泡型包蟲病36例手術治療體會. 中國普外基礎與臨床雜志, 2016, 23(11): 1379-1383.
11. 母齊鳴, 賀偉, 侯桂敏, 等. 腹腔鏡解剖性肝切除與常規開腹肝切除術治療肝包蟲病的療效分析. 實用醫院臨床雜志, 2018, 15(2): 131-133, 134.
12. 劉學軍, 木尼熱丁·艾則孜, 張新龍, 等. 加速康復外科理念用于肝囊型肝包蟲病外囊剝離手術治療的效果觀察. 浙江醫學, 2018, 40(5): 475-478.
13. 張丹, 宋九林, 楊平, 等. 不同手術方式治療對高原地區肝包蟲病患者圍術期指標及術后復發率的影響. 局解手術學雜志, 2019, 28(3): 212-215.
14. 阿吉德, 柴金萍, 王皓, 等. 青海地區肝囊性包蟲病術后IL-11、TNF-a、iNOS的變化及烏司他丁干預作用的臨床研究. 新疆醫科大學學報, 2019, 42(1): 111-115, 119.
15. 潘汝翀, 張發斌, 程時磊, 等. 砂生槐生物堿治療繼發性小鼠肝包蟲病的實驗研究. 中國病原生物學雜志, 2018, 13(3): 254-258.
16. 趙海蓉. 高原地區2例終末期泡型肝包蟲病自體肝移植術圍無肝期血流動力學變化的臨床觀察與護理. 貴州醫藥, 2019, 22(3): 483-484.
17. 陳克霏, 唐友銀, 賈貴清, 等. 復雜泡型肝包蟲根治性肝切除的MDT討論. 中國普外基礎與臨床雜志, 2018, 25(1): 77-82.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis on efficacy and safety of complete excision of the external capsule in the treatment of hepatic echinococcosis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content