BMC Surgery | |
Modified capitonage in partial cystectomy performed for liver hydatid disease: Report of 2 cases | |
Spiros Rizos2  Nikolaos Anemodouras1  Chariton Kolimpiris3  Dimitrios K Filippou2  | |
[1] Department of General Surgery, Livadias General Hospital, Livadia, Greece;1st Surgical Department, Piraeus General Hospital "Tzaneion", Tzanni & Afentouli str, Piraeus Greece;1st Surgical Department, Athens General Hospital "Agia Olga", 3-5 Agias Olgas str, Nea Ionia, Athens, Greece | |
关键词: surgical treatment of hydatid disease; echinococcosis; hydatid disease; partial cystectomy; | |
Others : 1123778 DOI : 10.1186/1471-2482-4-8 |
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received in 2004-02-19, accepted in 2004-06-28, 发布年份 2004 | |
【 摘 要 】
Background
Several techniques have been described in liver hydatid disease surgery, with most well known partial cystectomy, capitonage and introflexion.
Methods
We present a technical modification on open partial cystectomy for liver hydatid disease. We performed this operation in 2 patients with liver echinococcosis. The cyst is being unroofed and evacuated from the daughter cysts. The identified bile vessels ligated. The remnants of the anterior wall (capsule of the cyst) are anchored with sutures in the posterior wall in a manner that the cavity of the cyst disappears.
Results
In both patients the disease eradicated. No postoperative complications were observed including bile leaking and/or abscess formation.
Conclusions
Our technique helps in the fast, and effective mobilization of the patient, as well as in the minimization of postoperative bile leaking.
【 授权许可】
2004 Filippou et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
【 预 览 】
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【 参考文献 】
- [1]Tselentis J, Karpathios T, Fretzayas A, Korkas A, Nicolaidou P, Matsaniotis N: Hydatid disease in asymptomatic young carries in northern Greece. Am J Trop Med Hyg 1983, 32:1462-6.
- [2]Townsend CM, Beauchamp RD, Evers M, Mattox KL: Sabiston. Textbook of Surgery. In The biological basis of modern surgical practice. 16th edition. Edited by Meyers WC, Kim RD, Chari RS. Harcout International Edition: Echinococcal cysts; 2001:1053-56.
- [3]Gruttadauria S, Basile F, Marino G, Gentile A, Vittoria Sgroi AV, Gruttadauria G: Development in diagnosis and treatment of hepatic echinococcosis in a surgical department of a Mediterranean center over a 20-years period. Ann Ital Chir 2000, 71:99-104.
- [4]Saglam A: Laparoscopic treatment of liver hydatid cysts. Surg Laparosc Endosc 1996, 6:29-33.
- [5]Skroubis G, Vagianos C, Polydorou A, Tzoracoleftherakis E, Androulakis J: Significance of bile leaking complicating conservative surgery for liver hydatidosis. World J Surg 2002, 26:704-8.
- [6]Demirci S, Eraslan S, Anadol E, Bozatli L: Comparison of the results of different surgical techniques in the management of hydatid cyst of the liver. World J Surg 1989, 13:88-90.
- [7]Uravic M, Stimac D, Lenac T, Ivanis N, Petrosic N, Rubinic M, Skarpa A: Diagnosis and treatment of liver hydatid disease. Hepatogastroenterology 1998, 45:2265-9.
- [8]Prousalidis J, Tzardinoglou E, Kosmidis C, Katsohis K, Aletras O: Surgical management of calcified hydatid cysts of the liver. HPB Surg 1999, 11:253-9.
- [9]Cirenei A: Hepatectomie pour kyste hydatique. Rev Int Hepatol 1965, 15:1325-8.
- [10]Cirenei A, Bertoldi I: Evolution of surgery for liver hydatidosis from 1950 to today: analysis of personal experience. World J Surg 2001, 25:87-92.
- [11]Magistrelli P, Masetti R, Coppola R, Messia A, Nuzzo G, Picciocchi A: Surgical treatment of hydatid disease of the liver: a 20-year experience. Arch Surg 1991, 126:518-22.
- [12]Utkan NZ, Canturk NZ, Gonullu N, Yildirir C, Dulger M: Surgical experience of hydatid disease of the liver: omentoplasty or capitonnage versus tube drainage. Hepatogastroenterology 2001, 48:203-7.
- [13]Ariogul O, Emre A, Alper A, Uras A: Introflexion as a method of surgical treatment for hydatid disease. Surg Gynecol Obstet 1989, 169:356-8.
- [14]Kayaalp C, Sengul N, Akoglu M: Importance of cyst content in hydatid liver surgery. Arch Surg 2002, 137:159-163.