Diagnosis And Treatment Of Liver Hydatid Disease

Objective: To discuss and evaluate the indications and efficacy of the various surgical treatment manners for hepatic cystic echinococcosis (HCE). Methods: 431 cases of HCE treated with surgical operations From June 2002 to January 2006 in our hospital Summarized their clinical symptoms and surgical treatment manners were categorized and compared Results: classic internal cystectomy(group A) was higher than other surgical procedures in the postoperative complications of liver residual cavity and time of draining (P<0.01),but The postoperative hospital stays was shorter than liver resection(group D)(P<0.01). The difference was not statistically significant between the total cystectomy (group B) and Subtotal cystectomy (group C) in all clinical parameters (P >0.05). group A ,B and C was superior to group D in The postoperative hospital stays, blood loss, operation time and postoperative liver function(P < 0.01), there was not significantly difference between the group B,C and D in postoperative complications of liver residual cavity and time of draining (P>0.05). 430 cases (99.8%) were cured, but 1 case (0.2%) died. Conclusions: Total cystectomy is a reasonable and practicable new surgical method for HCE, with better solution for the relapse of the hydatid cyst by the leakage of the cystic fluid and circumvents altogether the problem of managing the residual cavity which occurred in previous classic internal cystectomy method. It is also safe, simple and easy control procedure as compared with liver resection. Subtotal cystectomy not only extinct residual cavity, but also effectively...