PDF(Pubmed)
Abstract：
Hydatid disease is caused by the Echinococcus tapeworm and is a zoonosis that endemically affects certain geographic areas with a high prevalence in animal husbandry. Due to globalization, the pathology can also be encountered beyond these preferred geographic areas. It predominantly affects the liver and lungs, with pancreatic localizations of hydatid cysts being rare and posing a challenge for differential diagnosis and surgical tactics. The present study aimed to provide a recent scoping of the literature on this type of localization, analyzing demographic data, therapeutic management, and postoperative outcomes. It was observed that females are more frequently affected in pancreatic hydatid localizations (p < 0.001), with the most common symptomatology represented by abdominal pain. The preferred localization was at the level of the pancreatic tail (32.5%), followed by cephalic localizations (25%). The preferred surgical approach was open surgery, with an observed preference for open surgery in specific localizations, such as the head, isthmus, and body of the pancreas (p < 0.001). Radical procedures are more commonly used than conservative ones (52.5% vs. 47.5%), and paradoxically, although less invasive, procedures such as inactivation and drainage are associated with more frequent complications (p = 0.03). This type of localization, due to the elements of local anatomical topography, requires adequate preparation in biliopancreatic surgery, considering that sometimes preoperative diagnosis is not oriented, and intraoperative records may require extensive interventions. Our research encompassed a thorough review of literature spanning the last decade using PubMed and Google Scholar databases, focusing specifically on cases involving primary hydatid cysts found within the pancreas. Thirty-three relevant articles were published between 2014 and 2024. In addition, we presented a unique case study that illustrates this uncommon occurrence.
摘要：
包虫病是由棘球蚴虫引起的，是一种人畜共患病，在某些地理区域流行，在畜牧业中患病率很高。由于全球化，病理也可以在这些优选的地理区域之外遇到。它主要影响肝脏和肺，包虫囊肿的胰腺定位很少见，对鉴别诊断和手术策略构成了挑战。本研究旨在提供有关这种本地化的文献的最新范围，分析人口统计数据，治疗管理，和术后结果。据观察，女性更频繁地受到胰腺包虫定位的影响（p<0.001），最常见的症状表现为腹痛。首选定位在胰尾水平（32.5%），其次是头部定位(25%)。首选的手术方式是开放手术，在特定的位置观察到对开放手术的偏好，比如头，地峡,和胰体（p<0.001）。激进手术比保守手术更常用(52.5%vs.47.5%），矛盾的是，虽然侵入性较小，灭活和引流等手术与更常见的并发症相关(p=0.03).这种类型的本地化，由于局部解剖地形的因素，在胆胰脏手术中需要充足的准备，考虑到有时术前诊断没有针对性，术中记录可能需要广泛的干预措施。我们的研究包括使用PubMed和GoogleScholar数据库对过去十年的文献进行全面回顾，特别关注涉及胰腺内发现的原发性包虫囊肿的病例。2014年至2024年期间发表了33篇相关文章。此外,我们提出了一个独特的案例研究，说明这种罕见的发生。
