Hepatic alveolar echinococcosis(HAE)is a severe zoonotic disease caused by Echinococcus multilocularis,primarily affecting the liver.Due to its insidious nature,the patients are often diagnosed at advanced stage,posing significant treatment challenges.We comprehensively examines the progress in surgical techniques for HAE management,focusing on various strategies across different disease stages.For the patients with early-stage HAE,ablation therapy has emerged as an effective treatment option.In the moderate to advanced cases,numerous surgical techniques and innovative approaches have been introduced,including laparoscopic surgery and liver transplantation,with particular emphasis on ex vivo liver resection and autotransplantation.These advancements offer more effective treatment options for the patients with advanced HAE.However,significant challenges persist,notably the preservation of adequate liver function while achieving complete lesion removal.Future research should prioritize the exploration and optimization of existing surgical methods,especially for advanced HAE cases.This includes refining surgical techniques through precise preoperative evaluation and staging,as well as developing novel surgical approaches to enhance safety and efficacy.Furthermore,multicenter and long-term follow-up prospective studies are crucial for validating the effectiveness of new surgical techniques and strategies.Through these concerted efforts,it is anticipated that the survival rates and quality of life for HAE patients will significantly be improved,marking a new era in the management of this complex disease.
维普
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