[The evaluation of total cystectomy for treatment of hepatic cystic echinococcosis].
OBJECTIVE
To evaluate the application of total-cystectomy in the hepatic cystic echinococcosis (HCE).


METHODS
An retrospective analysis was made in 223 cases of HCE. The observation targets included the days post operative, blood loss during operation, complications of residual cavity and local recurrence. The patients were divided into two groups: cyst-resection group and cyst ectomy group. The cyst-resection group was divided into two sub-groups, per cystectomy group and liver resection group.


RESULTS
The incidences of residual cavity and local recurrence in the cyst-resection group were lower than that in the cystectomy group (P < 0.01). The incidences of blood loss and average days in ward in the per cystectomy group were lower than that in partial liver resection group (P < 0.01).


CONCLUSIONS
HCE can decrease the complication of liver residual cavity and local recurrence effectively, total cystectomy should be selected as first procedures for treatment of hepatic cystic echinococcosis.
Yang
Jin-yu
JY
Department of General Surgery, Qinghai Province People Hospital, Xining 810007, China.
Wu
Xin-min
XM
Liao
Quan
Q
Xin
Wei-fan
WF
Zhao
Yu-pei
YP
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D015653:Cystectomy / Q000379:methods*; D004444:Echinococcosis, Hepatic / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome