Abstract：
Human echinococcosis is a zoonotic infection caused by the larvae of the tapeworm species Echinococcus. The liver is the most common location for a primary echinococcosis. However, the parasite may bypass or spread from the liver to the lungs, causing primary or secondary pulmonary echinococcosis, respectively. Pulmonary echinococcosis is a clinically challenging condition in which anthelminthic regiments are important, but surgery has the central role in removing the cysts and preventing recurrences. Surgical treatment may involve cystotomy, enucleation, capitonnage, or atypical resections, which occasionally are in combination with hepatic procedures. The utilization of modern devices is greatly underdescribed in surgery for thoracic infections, even though these facilitate much of the work. Therefore, this article aims to describe pulmonary echinococcosis and the role of modern surgical devices in the treatment process. Furthermore, we report surgical treatment of three different cases of pulmonary echinococcosis. Surgeries of uncomplicated and ruptured hepatic or pulmonary cysts are described. Simple small pulmonary echinococcal lesions can be excised by endostaplers both for diagnostic and curative reasons. Larger cysts can be removed by energy devices unless large bronchial air leaks occur. Complicated cysts require treatment by more extensive techniques. Inexperienced surgeons should not abstain but should carefully decide preoperatively how to proceed.
摘要：
人类棘球蚴病是一种人畜共患感染，由棘球蚴的幼虫引起。肝脏是原发性包虫病最常见的位置。然而,寄生虫可能绕过或从肝脏扩散到肺部，引起原发性或继发性肺包虫病，分别。肺包虫病是一种临床上具有挑战性的疾病，其中驱虫治疗方案很重要，但是手术在切除囊肿和防止复发方面具有核心作用。手术治疗可能包括膀胱切开术，摘除,首都,或非典型的切除,有时与肝脏手术相结合。在胸部感染的手术中，现代设备的使用被大大低估了，尽管这些促进了很多工作。因此,本文旨在介绍肺包虫病的治疗过程及现代外科器械的作用。此外，我们报告了3例不同的肺包虫病的手术治疗。描述了无并发症和破裂的肝或肺囊肿的手术。出于诊断和治疗原因，可以通过内窥镜切除简单的小肺棘球球菌病变。除非发生大的支气管空气泄漏，否则可以通过能量设备去除较大的囊肿。复杂的囊肿需要更广泛的技术治疗。没有经验的外科医生不应弃权，但应仔细决定术前如何进行。
