Surgical treatment strategy for complex hepatic echinococcosis: a review

Abstract

The hepatic echinococcosis is an anthropozoonosis and caused by the larva of Echinococcus. The main pathogenic type of Echinococcus in China is E. granulosus and E. multilocularis, which cause cystic echinococcosis and alveolar echinococcosis respectively. At present, the treatment of hepatic echinococcosis has made great progress, but there are still some difficulties in the treatment of complex echinococcosis, especially of the cases existing one or more complications, and the focus of infection encroaching the hepatic portal, important vessels and bile vessel. This paper based on the literature reports and clinical experiences in recent years, puts forward the surgical treatment strategy for complex hepatic echinococcosis.

Abstract

[ 摘要] 肝棘球蚴病是一种由棘球属绦虫幼虫所致的人畜共患性疾病。我国主要致病绦虫类型为细粒棘球绦虫和多房 棘球绦虫, 分别引起细粒棘球蚴病和多房棘球蚴病。目前, 棘球蚴病治疗已经取得重大进展, 但对于部分就诊时已出现 一 种或多种并发症以及病灶侵及肝门、重要血管及胆管的复杂性棘球蚴病病例的治疗仍存在一定困难。本文根据近年 来文献报道, 结合临床经验, 对复杂性肝棘球蚴病的外科治疗策略进行综述。