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Abdominal echinococcosis: Outcomes of conservative surgery

机译：腹部棘球co病：保守手术的结果

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Background: Hydatid disease, infection with the larval stage of the cestode Echinococcus spp., represents a substantial disease burden worldwide. We report here the outcomes of conservative surgery in patients with abdominal echinococcosis. Methods: We carried out a retrospective review of patients who underwent conservative surgery for abdominal hydatid disease during the period January 2008 to December 2011. Perioperative outcomes were analysed after a mean follow-up of 24 months (range 6-36 months). Results: Thirty patients (mean age 40.4 years; male:female=7:3) underwent surgery. Most (29 patients) had a hepatic hydatid cyst and underwent partial cystectomy with omentoplasty; surgery was open in 22 cases (73%), laparoscopic in six cases (20%) and laparoscopic converted to open in one case (3%); one patient with a splenic cyst underwent open splenectomy. Cystobiliary communication was present in 10 cases (3%). Postoperative complications included transient biliary leak in two cases (7%), grade 1 surgical site infection in five cases (17%) and respiratory tract infection in three cases (10%), with no mortality. Mean hospital stay was 17±9.2 days. None of the patients had recurrence of disease on follow-up imaging. Conclusion: Conservative surgery offers an effective approach for abdominal echinococcosis, with minimal morbidity or recurrence, and is an alternative to radical procedures.
机译：背景：包虫病，由est虫棘球E虫的幼虫期感染，在世界范围内代表着巨大的疾病负担。我们在这里报告腹部棘球co虫病患者保守手术的结果。方法：我们对2008年1月至2011年12月期间接受保守手术治疗的腹部d虫病患者进行了回顾性研究。对患者的围手术期结果进行了平均24个月（6-36个月）的随访。结果：30例患者（平均年龄40.4岁;男：女= 7：3）接受了手术。大多数（29例）有肝包虫囊肿，并接受了部分网膜切除术并进行了网膜成形术。开腹手术22例（73％），腹腔镜手术6例（20％），腹腔镜开腹手术1例（3％）;一名患有脾囊肿的患者接受了开放性脾切除术。 10例患者中存在胆道沟通（3％）。术后并发症包括暂时性胆漏2例（7％），1级手术部位感染5例（17％）和呼吸道感染3例（10％），无死亡。平均住院时间为17±9.2天。随访影像均未发现患者复发。结论：保守手术为腹部棘球co虫病提供了一种有效的方法，发病率或复发率极低，是根治性手术的替代方法。

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