Hepatic hydatid treatment of residual cavity.docVIP

 PAGE \* MERGEFORMAT 7 Hepatic hydatid treatment of residual cavity Author: Jian-Xun Li, Gao Zhigang, Xuan, Zhang Liang [Keywords:] liver hydatid; residual cavity; surgical treatment Hepatic hydatid disease residual cavity after surgery, if handled properly, can greatly affect the patient’s therapeutic effect. Therefore, residual cavity of the treatment is surgical treatment of hepatic hydatid disease in the prevention of complications of the key [1]. Our hospital in May 1990 -2007 year in July a total of 306 cases of hepatic hydatid disease treated, the residual cavity processing technique has achieved some experience, are presented below. A clinical data 1.1 General Information This group of 306 patients, 326 hydatid, of which 144 cases of male and female 162 cases, male to female ratio of 1:1.13, with an average age of 34.2 years, with young adults for more than 51 cases of postoperative complications, 32 cases of biliary fistula, breaking into the bile duct in 4 cases, infection in 8 cases, 4 cases of recurrence, bleeding in 3 patients. 1.2 Operation mode In addition to two cases in this group three hydatid purposes of partial hepatectomy, the residual cavity were carried out following treatment: external capsule cavity closed drainage in 13 cases, greater omentum filling the cavity surgery in 28 cases, muscle flap filling the cavity surgery 3 cases, outside the capsule 277 cases of inverted suture, external capsule partial open surgery in 2 cases. 1.3 Results The longest nine-year follow-up period, relapse, 4 cases, 1 death due to renal failure cases, the rest were cured. 2 Discussion 2.1 The removal of liver hydatid cyst within the left has always been in the liver after with such a large hydatid cavity, generally a few hundred to several thousand milliliters of volume, the cavity of the cyst is a fibrous connective tissue from the liver to form the outer cyst, the cyst because of thick and tough, non-contractile force are not easily collaps