Progress in surgical treatment of hydatid diseases in China. A clinical analysis of 22,005 surgical cases.
Altogether 27,716 cystic hydatid cases and 445 alveolar hydatid cases clinically diagnosed and surgically treated in China were retrospectively studied. In accordance with the parasitic sites of the hydatid cysts and the various pathological types, different surgical procedures were adopted. In an attempt to prevent intraoperative accidents and postoperative complications, continued improvements in operational techniques have been made. Different surgical procedures were evaluated for their advantages and disadvantages as well as their indications. According to the pathological changes of the residual cavities of ectocysts, different measures were adopted. In screening operations, injection of antihydatid drug into hydatid cysts followed by oral administration of this drug was used to prevent relapses. The therapeutic effect of all these measures has been proved satisfactory by follow-up studies. This indicates that the progress in surgical treatment of cystic hydatid disease during the recent 10 years has been attaining to the objectives of shortening the duration of treatment, decreasing the postoperative recurrence rate and increasing the cure rate. In some hospitals, no operative death and relapse of cyst growth have been reported in nearly 1,000 surgical cases of cystic hydatid disease. Only 10.8% of the 445 alveolar hydatid cases underwent radical operations and the prognoses were unfavourable. This was due to the absence of symptoms in early stages of the disease which often made the patients miss the chance for radical operation in hospitals.
Xu
M
M
Clinical Division of the National Hydatid Disease Center of China, People's General Hospital of Xinjiang Uygur Autonomous Region, Urumqi.
D004443:Echinococcosis / Q000601:surgery*; D004444:Echinococcosis, Hepatic / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D012189:Retrospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage
D012965:Sodium Chloride