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;
CHEN Zheyu, Email: chenzheyu71@163.com
hepatic cystic echinococcosis; complete excision of the external capsule; efficacy; safety; partial hepatectomy
10.7507/1007-9424.201911083
Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables 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

Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved