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Palanivelu hydatid system for safe and efficacious laparoscopic management of hepatic hydatid disease

机译：Palanivelu包虫系统可安全，有效地腹腔镜治疗肝包虫病

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Background: Hydatid disease, being endemic in several areas of the world, is of interest even to surgeons in non-endemic areas because they may encounter the disease due to ease and rapidity of travel as well as immigration. We describe a new device for laparoscopic management of hepatic hydatid disease. Methods: The special trocar-cannula system-the Palanivelu hydatid system (PHS)-and the technique of operation are described. A total of 75 patients were operated on using this technique. Results: In 83.3% of patients, only evacuation of the hydatid cyst by the PHS was done. In 13.7%, this was followed by left lobectomy because the cysts were large, occupying almost the entire left lobe of the liver. The remnant cavity was dealt with by omentoplasty. The average follow-up period was 5.9 years, during which there were no recurrences. Conclusions: PHS is successful in preventing spillage, evacuating the contents of hydatid cysts, performing transcystic fenestration, and for dealing with cyst-biliary communications. 2006 Springer Science+Business Media, Inc.
机译：背景：包虫病在世界上几个地区都很流行，即使是非流行地区的外科医生也很感兴趣，因为他们可能由于旅行和移民的便捷和迅速而遇到这种疾病。我们描述了一种新的腹腔镜治疗肝葡萄虫病的设备。方法：描述了特殊的套管针-套管系统-Palanivelu hydatid系统（PHS）以及手术技术。共有75例患者使用该技术进行了手术。结果：在83.3％的患者中，仅通过PHS清除了包虫囊肿。在13.7％的患者中，其次是左肺叶切除术，因为囊肿很大，几乎占据了肝脏的整个左叶。残余腔通过网膜成形术处理。平均随访期为5.9年，在此期间没有复发。结论：PHS成功地预防了溢出，疏散包虫囊肿的内容，进行了囊性开窗术以及处理了胆囊胆道的沟通。 2006年Springer Science + Business Media，Inc.

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