[Intraoperative treatment of cyst contents in abdominal echinococcosis].
OBJECTIVE
To study the methods for intraoperative treatment of the cyst contents in patients with abdominal echinococcosis.


METHODS
Sixty-nine cases of abdominal echinococcosis were reviewed for intraoperative disposal of the cyst contents using 5% formaldehyde (group A, 33 cases) or 25% NaCl solution (group B, 36 cases), and the effects and incidence of complications were compared.


RESULTS
No relapse occurred in 33 cases with 5% formaldehyde treatment of the cyst contents, but postoperative intestinal fistula took place in 8 cases. In 36 cases with 25% NaCl treatment of the cyst contents, relapse occurred in one case postoperatively but no complications were seen in other patients.


CONCLUSIONS
Treatment of the cyst contents with 5% formaldehyde may lead to intestinal fistula, and 25% NaCl solution may give rise to the risk of recurrence, so that both methods need improvement.
Zhou
Zhi-de
ZD
Department of Surgery, 41 Hospital of PLA, Shannan 856100, Tibet, China. Zhidezhou888@hotmail.com
Xu
Quan-hong
QH
Peng
Shun-zhou
SZ
D000005:Abdomen; D000328:Adult; D004443:Echinococcosis / Q000601:surgery*; D005260:Female; D005557:Formaldehyde / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D015552:Injections, Intralesional; D007412:Intestinal Fistula / Q000209:etiology; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D012462:Saline Solution, Hypertonic / Q000008:administration & dosage* / Q000009:adverse effects
D012462:Saline Solution, Hypertonic; D005557:Formaldehyde