Historical changes in surgical strategy and complication management for hepatic cystic echinococcosis

Figure 1 Excision of the internal capsule. A: After the incision of the peritoneum, the outer capsule of cystic echinococcosis (CE) was ruptured, and the inner capsule was intact; B: The gauze soaked with iodophor was used to isolate the surrounding organs and the intact ascus was removed carefully; C: The CE cyst was large in size and dense in adhesion with the diaphragm. Therefore, we chose to perform the internal capsule enucleation and found an internal fistula in the bile duct of the hydatid cyst, and the contents of the cyst were stained with bile; D: The aspirator aspirated the contents of the capsule, the capsule was repeatedly rinsed with iodophor and wiped with gauze, and a rubber drainage tube was placed.