Yan Jinghao,Zhou Ling,Li Shuixue.Experience and efficacy analysis of endoscopic treatment of 35 children with hepatic cystic hydatid disease[J].Journal of Clinical Pediatric Surgery,,22():32-36.[doi:10.3760/cma.j.cn101785-202205004-007]
Experience and efficacy analysis of endoscopic treatment of 35 children with hepatic cystic hydatid disease
- Keywords:
- Laparoscopes; Echinococcosis; Internal Capsule; External Capsule; Surgical Procedures; Operative; Child
- Abstract:
- ObjectiveTo explore the clinical efficacy and application value of laparoscopic hepatic cystic hydatid excision or subtotal external resection +internal encapsulation for hepatic cystic hydatid in children.MethodsFrom January 2010 to June 2021,clinical data were retrospectively reviewed for 35 children with hepatic hydatid disease undergoing laparoscopy.There were 21 boys and 14 girls with an average age of (8.9±3.0) years.The major manifestations were abdominal pain with vomiting or abdominal pain with signs of peritonitis.Surgical apparoach was laparoscopic hepatic echinococcosis cystic hydatid exocystectomy or subtotal resection plus internal capsule removal.ResultsAll of them underwent 4-hole laparoscopy successfully.Laparoscopic hepatic echinococcosis cystectomy (n=26) and laparoscopic hepatic echinococcosis granulosus cystectomy (n=9) were performed with an average operative duration (132±14.2) min and an average hospital stay (16±1.9) days.Seven cases (20%) had surgery-related complications,including residual cavity infection (n=3) and residual cavity bile leakage (n=4).All cases were cured and discharged after conservative measures.There was no hepatic hydatid cyst fluid overflow and anaphylactic shock during operation.ConclusionLaparoscopic hepatic hydatid cyst excision or subtotal resection plus internal capsule excision is both safe and effective for hepatic hydatid cyst in children with hydatid cyst.For ruptured cystic echinococcosis of hepatic hydatid cyst,emergency laparoscopic subtotal external cystectomy plus internal cystectomy of hepatic hydatid cyst is equally feasible.
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Memo
收稿日期:2022-05-02。
基金项目:新疆维吾尔自治区科技援疆项目(2020E0287);新疆维吾尔自治区自然基金项目(2020D01A89)
通讯作者:李水学,Email:lishuixue@sina.com