关键词: 肝细粒棘球蚴病, 包囊, 破裂, 外囊次全切除术, 胆道

Abstract:

To retrospectively analyze the therapeutic effect of partial pericystectomy in 21 cases of acute intrabiliary rupture of hepatic Echinococcus granulosus cyst performed from December 2015 to November 2018 in the First Affiliated Hospital of Shihezi University, Xinjiang Uygur Autonomous Region. The 21 patients included 14 males and 7 females; 18 of primary onset and 3 relapsed. All of the cases were admitted as the cases of acute hydatid cyst rupture, and showed jaundice at admission (14 had persistent progressive jaundice and 7 had intermittent jaundice) accompanied by symptoms of shiver, high fever, peritoneal irritation sign, nausea, and vomiting. In 4 patients, when the cyst ruptured into biliary tract. E. granulosus protoscoleces were found being seeded in the abdominal cavity. The operations spent 2.7 h on average, and the average intraoperative blood loss was 75 ml. Duing the operation, all patients were inserted with T-tube for drainage, 11 patients were concurrently placed with abdominal drainage tube, 3 patients with residual cavity drainage tube, and 3 patients with abdominal drainage tube/residual cavity drainage tube. One patient developed postoperative residual cavity infection, and 3 patients developed postoperative bile leakage. No other related complications occurred. During 1-3 years of follow up, no relapse cases were reported. The partial pericystectomy has good therapeutic effect for intrabiliary rupture of hydatid cyst.

Key words: Hepatic hydatid, Cyst, Rupture, Partial pericystectomy, Biliary tract