PLACE OF THORACOTOMY IN THORACIC COMPLICATIONS OF HYDATID CYSTS OF THE LIVER

被引:0
|
作者
KILANI, T
DAOUES, A
HORCHANI, H
SELLAMI, M
机构
来源
ANNALES DE CHIRURGIE | 1991年 / 45卷 / 08期
关键词
THORACIC COMPLICATIONS OF HYDATID CYST OF THE LIVER; ULTRASONOGRAPHY; SURGICAL INCISION; THORACOTOMY; BILIARY COMPLICATIONS;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
The authors present 16 cases of hydatid cyst of the liver with rupture into the thorax, operated by thoracotomy. In 15 cases, the cyst ruptured into the right hemithorax and in one case, it ruptured into the left hemithorax. We adopted the classification proposed by our master S. Mestiri, which completes that proposed by Deve. The diagnosis is essentially based on thoraco-abdominal ultrasonography, which visualises the hydatid cyst, reveals intrathoracic collections, demonstrates the diaphragmatic tear and studies the biliary tract looking for obstruction or dilatation. The diagnosis was established in 12 out of 16 cases. There were 3 postoperative deaths (18.7%): two from septic shock and one from cerebral vein thrombosis. Only one patient had to be operated via an abdominal incision one month after thoracotomy for cholangitis secondary to stones in the common bile duct which were not seen on the preoperative ultrasonography. Laparotomy is required whenever there is a biliary problem and may be sufficient in type 1 lesions. Thoracotomy is necessary whenever there is an intrathoracic collection (types II, III, IV) and is sufficient in the absence of any biliary tract lesions.
引用
收藏
页码:705 / 710
页数:6
相关论文
共 50 条
  • [1] THORACIC EXTENSION OF HYDATID CYSTS OF THE LIVER
    PINNA, AD
    MARONGIU, L
    CADONI, S
    LURIDIANA, E
    NARDELLO, O
    PINNA, DC
    [J]. SURGERY GYNECOLOGY & OBSTETRICS, 1990, 170 (03): : 233 - 238
  • [2] RESPIRATORY COMPLICATIONS REVEALING HYDATID CYSTS OF LIVER
    MACQUET, V
    LAFITTE, P
    ROGEAUX, Y
    [J]. LILLE MEDICAL, 1973, 18 (02): : 150 - 156
  • [3] Thoracic approach of concomitant lung and liver hydatid cysts
    Zairi, S.
    Jendli, W.
    Kamoun, H.
    Abdennadher, M.
    Zribi, H.
    Attia, M.
    Mestiri, T.
    Hantous, S.
    Marghli, A.
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2022, 60
  • [4] HYDATID CYSTS OF LIVER - INDICATIONS AND COMPLICATIONS OF INTERNAL DERIVATIONS
    HIDALGOP.M
    MORENOGO.E
    CANALESL.M
    GARCIAGA.I
    [J]. CIRUGIA ESPANOLA, 1973, 27 (06): : 503 - 512
  • [5] Thoracic hydatid cysts: news
    El Biaze, M.
    [J]. REVUE DES MALADIES RESPIRATOIRES, 2006, 23 (04) : S80 - S82
  • [6] 50 THORACIC HYDATID CYSTS
    BORRIE, J
    [J]. BRITISH JOURNAL OF SURGERY, 1962, 50 (221) : 268 - &
  • [7] Complications of Hydatid Cysts of the Liver: Spiral Computed Tomography Findings
    Alexiou, Konstantinos
    Mitsos, Sofoklis
    Fotopoulos, Athanasios
    Karanikas, Ioannis
    Tavernaraki, Kiriaki
    Konstantinidis, Fotis
    Antonopoulos, Peter
    Ekonomou, Nikolaos
    [J]. GASTROENTEROLOGY RESEARCH, 2012, 5 (04) : 139 - 143
  • [8] COMPLICATIONS OF HEPATIC HYDATID CYSTS
    GAGOROMO.P
    VELASCOG.JM
    VAZQUEZG.JM
    DIEZGUTI.JL
    [J]. MEDICINA CLINICA, 1974, 63 (05): : 233 - 237
  • [9] HYDATID CYSTS OF THE LIVER
    SEDGWICK, CE
    [J]. SURGICAL CLINICS OF NORTH AMERICA, 1952, 32 (03) : 899 - 902
  • [10] Hydatid cysts in the liver
    Young, TH
    Hsieh, TY
    Liu, YC
    Chao, YC
    Hsu, CT
    Lee, HS
    Tang, HS
    [J]. JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION, 1996, 95 (02) : 176 - 179