手術で管理された146のヘパティック・ハダチド・キストの19年後の遡及分析: 4つの手順ベースのグループにおける合併症
Sabrina Mancino1, Samuel Michelini1, Naomi Mancino2
1Faculty of Medicine, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Targu Mures, Targu Mures, ROU.
Cureus
|February 13, 2026
まとめ
肝臓ヒダチドシストの外科的治療は,結果によって異なります. 最低侵襲的処置は,選択された患者により短い滞在とより少ない合併症を提供し,オープン手術はより高い罹病率を持っています.
科学分野:
- ヘパト・ビリヤリー外科手術
- 寄生虫感染症 寄生虫感染症
- 外科手術の結果の研究
背景:
- 囊性エチノコッコシス (Cystic echinococcosis) は流行性であり,しばしば肝臓に影響を及ぼします.
- ヘパティック・ヒダチド・キストは,サイズ,症状,または合併症により,しばしば外科的介入を必要とします.
研究 の 目的:
- 異なる肝臓ヒダチドキスト治療の外科的結果と合併症を評価する.
- 19年の間,さまざまな手術アプローチを比較するために.
主な方法:
- 146人の患者 (2004年−2023年) の遡及的観察研究.
- 手術は4つのグループに分類される:オープン保守的,最小侵襲的 (PAIR/PAIR-D),急進的/複合的,超音波誘導排水.
- 人口統計,手術,術後データを分析する.
主要な成果:
- オープンな保守的な手術 (Mabit-Lagrot) が最も一般的であった (45.9%).
- 全体的な合併症率は25.3%で,再発した胞が最も頻繁でした.
- 最低侵襲的処置は,入院期間を短縮し,特定の症例では合併症率が低下した.
結論:
- ヘパティック・ヒダチド・キストの手術結果は,侵入性に依存する.
- オープン手術は効果的ですが,より高い罹病率に関連しています;最小侵襲的オプションは,選択された患者にとって実行可能な代替案です.
- 手術後のビリルビンとアミラーゼの濃度は,必ずしも合併症ではなく,侵入性を示す.
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