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Objective:To compare the different methods of hepatic blood flow occlusion in hepatectomy for hepatic alveolar echinococcosis.Methods:A total of 49 patients with hepatic alveolar echinococcosis who underwent radical hepatectomy from January 2018 to January 2019 in Department of General Surgery, Qinghai Provincial People's Hospital were retrospectively studied. There were 22 males and 27 females, aged 10-62 years. The patients were divided into the Glisson group ( n=22) and the Pringle group ( n=27) according to the method used for hepatic blood flow occlusion during operation. For the Glisson group, intrahepatic blood flow was occluded at the Glisson pedicle. For the Pringle group, intrahepatic blood flow was occluded using the Pringle’s maneuvre. Intraoperative blood loss, operation time, postoperative liver function and postoperative complications were compared between the two groups. Results:There were no significant differences between the two groups in operation time, intraoperative blood loss and intraoperative blood transfusion (all P>0.05). The vascular occlusion time of blood flow in the Pringle group was 35 (30, 45) min, which was significantly longer than that of 20 (15, 26) min in the Glisson group ( P<0.05). The drainage tube in the Pringle group was removed after 8 (7, 12) d, which was significantly longer than that of 7 (6, 9) d in the Glisson group ( P<0.05). After operation, alanine aminotransferase, aspartate aminotransferase, total bilirubin and direct bilirubin in the Glisson group were significantly better than those in the Pringle group (all P<0.05). Postoperative complications occurred in 9 patients (40.9%, 9/22) in the Glisson group and 15 patients (55.6%, 15/27) in the Pringle group ( P>0.05). Conclusion:The liver function, and time of removal of abdominal drainage tube after Glisson pedicle hepatic blood flow occlusion in patients who underwent hepatectomy for hepatic alveolar echinococcosis were significantly better than the Pringle method.
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Objective To compare the changes in liver function in patients with different types of hepatic alveolar echinococcosis after radiofrequency ablation.Methods The data of 32 patients with hepatic alveolar echinococcosis treated by radiofrequency ablation from December 2016 to December 2018 at the Qinghai Provincial People's Hospital were retrospectively analyzed.There were 12 males and 20 females.The patients were divided into the single lesion group (n =17) and the multiple lesions group (n =15)according to the number of hydatid lesions.The lesions were further divided into the small lesion group (n =12) and the large or medium lesion group (n =20).The operation time,changes in AST and ALT were compared among these groups.Results The operation time of the single lesion group was 1.5 (1.0,1.8)hour,and that of the multiple lesions group was 3.0 (1.5,3.5) hour.The difference was statistically significant (P ＜ 0.05).On the 1st and 3rd day after treatment,ALT in the multiple lesions group was significantly higher than that in the single lesion group (P ＜ 0.05).Compared with the 1 st day after operation,ALT of the two groups decreased on the 5th day after treatment,and the difference was statistically significant (P ＜ 0.05).The changes in AST in the two groups were basically the same as that of ALT.The operation time of the small lesion group was 1.0 (1.0,1.9) hour,and of the large and medium lesion group was 2.5 (1.5,3.0) hour.The difference was statistically significant (P ＜0.05).On the 1st,3rd and 5th day after treatment,ALT in the small lesion group was significantly lower than the large or medium lesion group (P ＜ 0.05).Compared with the 1 st day after treatment,ALT of the two groups decreased on the 5thday after treatment,and the difference was statistically significant (P ＜ 0.05).There was a significant difference in AST between the small lesion group and the large or medium lesion group only on the 1 st day after operation (P ＜ 0.05).Conclusion Radiofrequency ablation for hepatic alveolar echinococcosis with a single lesion and a small lesion had shorter operation time with less changes in liver function after treatment.
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Objective@#To compare the changes in liver function in patients with different types of hepatic alveolar echinococcosis after radiofrequency ablation.@*Methods@#The data of 32 patients with hepatic alveolar echinococcosis treated by radiofrequency ablation from December 2016 to December 2018 at the Qinghai Provincial People's Hospital were retrospectively analyzed. There were 12 males and 20 females. The patients were divided into the single lesion group (n=17) and the multiple lesions group (n=15) according to the number of hydatid lesions. The lesions were further divided into the small lesion group (n=12) and the large or medium lesion group (n=20). The operation time, changes in AST and ALT were compared among these groups.@*Results@#The operation time of the single lesion group was 1.5 (1.0, 1.8) hour, and that of the multiple lesions group was 3.0 (1.5, 3.5) hour. The difference was statistically significant (P<0.05). On the 1st and 3rd day after treatment, ALT in the multiple lesions group was significantly higher than that in the single lesion group (P<0.05). Compared with the 1st day after operation, ALT of the two groups decreased on the 5th day after treatment, and the difference was statistically significant (P<0.05). The changes in AST in the two groups were basically the same as that of ALT. The operation time of the small lesion group was 1.0 (1.0, 1.9) hour, and of the large and medium lesion group was 2.5 (1.5, 3.0) hour. The difference was statistically significant (P<0.05). On the 1st, 3rd and 5th day after treatment, ALT in the small lesion group was significantly lower than the large or medium lesion group (P<0.05). Compared with the 1st day after treatment, ALT of the two groups decreased on the 5th day after treatment, and the difference was statistically significant (P<0.05). There was a significant difference in AST between the small lesion group and the large or medium lesion group only on the 1st day after operation (P<0.05).@*Conclusion@#Radiofrequency ablation for hepatic alveolar echinococcosis with a single lesion and a small lesion had shorter operation time with less changes in liver function after treatment.