He Jun,Liu Dong,Liu Yanfang,et al.Clinical experiences of laparoscopic treatment of hepatic echinococcosis in children: a report of 26 cases[J].Journal of Clinical Pediatric Surgery,,17():703-706.
Clinical experiences of laparoscopic treatment of hepatic echinococcosis in children: a report of 26 cases
- Keywords:
- Laparoscopy; Hepatic echinococcus disease; Children; Treatment
- Document code:
- A
- Abstract:
- Objective To explore the clinical efficacy of laparoscopic treatment of children with hepatomegaly echinococcosis. Methods From January 2010 to December 2016, retrospective analysis was conducted for the clinical data of 26 children with hepatic hydatid disease. All children underwent laparoscopy. Ectopic hepatic cyst echinococcosis was treated by avant-garde clearance resection of hydatid capsule. And endochondral hepatic hydatid cyst was handled by partial excision plus drainage. And postoperative oral albendazole and health education were offered. Results All operations were successful. Average operative duration was (150±43)(100-250) min, average bleeding volume (14±3)(10-20) mL and average hospitalization stay (10±3)(6-18) days. Eighteen cases underwent laparoscopic external capsule resection while another 4 cases had laparoscopic partial cystectomy plus external drainage. Four cases underwent laparoscopic external capsule resection, partial removal of internal capsule plus external drainage. There were postoperative residual cavity infection (n=2) and residual bile fistula (n=4). No fluid overflow of hepatic hydatid cyst, anaphylactic shock or intraoperative mortality. During a 6-month follow-up period, there was no recurrence. Conclusion Both safe and feasible, laparoscopic treatment of pediatric hepatomegaly hydatid disease has great clinical values. For more complicated cases, laparoscopic partial en bloc resection plus external drainage is preferred.
References:
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