Abstract:In this study, we explored and discussed the methods, indication and effects of surgical treatment of cystic echinococcosis (CE). We compared and analyzed 216 cases of CE patients, who were chosen to have surgical treatment from January 2009 to December 2013. The length of hospital staying, time for intratracheal tube and the post operation residual cavity complication of Group A who had their capsula interna removed were higher than those of the other three groups (P<0.01). The complete stripping treatment of the CE capsula externa could fundamentally uproot the complications caused by the removal of the capsula interna, such as echinococcosis flare-up and biliary fistula. Compared with the hepatectomy, the treatment leaved smaller degree of trauma and low complications. Therefore, it could be regarded as the top choice for the surgical treatment of CE. In terms of the echinococcosis near the great vessels and major viscera organs or echinococcosis whose peripheral dissection levels were not clear, the total removal of capsula externa could not only effectively eliminate the residual cavity, but also make the surgery easier and reduce the risks caused by the capsula externa stripping surgery.
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