Results of the Surgical Treatment of Liver Hydatid Cyst
DOI:
https://doi.org/10.53555/bp.v5i12.1171Keywords:
hydatid cyst diseases, hepatectomy, cystectomy, drainage.Abstract
The hydatic disease is a severe, potentially lethal disease caused by Echinococcus granulosus larvae. The infection with E. granulosus should be seen as a challenge both from a medical and economic point of view. In Romania, the incidence of this pathology is increasing, with 5-6 cases per 100.000 inhabitants each year.
Aim: aim of this research was to find out which procedure (radical, drainage and obliteration) are the best procedures for the treatment of liver hydatid cyst.
Methodology: 44 patients with Liver hydatid cyst (LHC) Preventive medicine department were operated in the surgical ward of Nangarahar Medical University Hospital between 13/Sep/2018 and 8/Oct /2019 were reviewed prospectively. It was observed that cystectomy or hepatectomy had been preferred in sure patients the size of cyst small and subcapsular location.
Results: There was no significant difference in the type of surgical procedures, postoperative early complications. Recurrence rates and mean duration of hospital stay were significantly lower in patients treated by radical procedures than the group of patients who are drainage and obliteration.
Conclusion: Radical operations for hydatid cystic lesions are safe methods and may be preferred in selected cases.
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2. Alper A, Ariogul O, Emre A, Uras A, Okten A. Choledochoduo-denostomy for intrabiliary rupture of hydatid cysts of liver. Br J Surg. 1987;74:243-245.
3. Buttenschoen K, Carli Buttenschoen D. Echinococcus granulosus infection: the challenge of surgical treatment. Langenbecks Arch Surg. 2003;388:218–230.
4. Caratozollo M, Scardella L, Grossi G. Diagnostic approach of ab-dominal hydatidosis by ultrasonography. Arch Hydatid. 1991; 30: 531-534.
5. Cois A, Iasiello G, Nardello O, Mattana A, Ucheddu A, Caqetti M. Human brin glue in the treatment of residual parenchymal surface after total pericystectomy for hepatic echinococcosis. Ann Ital Chir. 1997; 68: 701-706
6. Corneleac E, Cojocaru E, Crauciuc R, Manolescu E, Fischel J, Orhei O, et al. Hepato-cysto-cholecystostomy in voluminous central posthydatic residual cavities of the liver. Lyon Chir. 1966; 62: 663-669.
7. Dawson JL, Stamatakis JD, Stringer MD, Williams R. Surgical treatment of hepatic hydatid disease. Br J Surg. 1988; 75:946-950.
8. Dolay K, Akcakaya A, Soybir G, Cabioglu N, Muslumanoglu M, Igci A, et al. Endoscopic sphincterotomy in the management of postoperative biliary stula. A complication of hepatic hydatid disease. Surg Endosc. 2002;16:985-988
9. Dumas R, Le Gall P, Hastier P, Buckley MJ, Conio M, Delmont JP. The role of retrograde cholangiopancreatography in the manage-ment of hepatic hydatid disease. Endoscopy. 1999; 31: 242-247.
10. Gharbi HA, Hassine W, Brauner MW, Dupuch K. Ultrasound examination of hydatic liver. Radiology. 1981; 139: 459-463.
11. Giorgio A, Di Sarno A, de Stefano G, Liorre G, Farella N, Scognamiglio U, Giorgio V. Sonography and clinical outcome of viable hydatid liver cysts treated with double percutaneous aspiration and ethanol injection as first-line therapy: efficacy and long-term follow-up. AJR Am J Roentgenol. 2009;193:W186–92.
12. Gougoulias NE, Varitimidis SE, Bargiotas KA, Dovas TN, Kary-dakis G, Dailiana ZH, et al. Skeletal muscle hydatid cysts present-ing as soft tissue masses. Hippokratia. 2010; 14, 2: 126-130.
13 . Grossi G, Lastilla MG, Teggi A, Di Vico B, Traditi F, Lanzalone CM, et al. 420 patients with hydatid cyst: observations on the clinical picture. Arch Hydatid. 1991; 30: 1021-1025.
14. Harris KM, Morris DL, Tudor R, Toghill P, Hardcastle JD. Clini-cal and radiographic features of simple and hydatid cysts of the liver. Br J Surg. 1986;73:835-838.
15 . Jose Luis Barros Hydatid disease of the liver. Am J Surg 1978; 135: 597-600.
16 . Kayaalp C, Bostanci B, Yol S, Akoglu M. Distribution of hydatid cysts into the liver with reference to cystobiliary communications and cavity-related complications. Am J Surg. 2003;185:175-179.
17. Kern P. Echinococcus granulosus infection: clinical presenta-tion, medical treatment and outcome. Langenbecks Arch Surg .2003;388:413-420.
18 . Kouraklis G, Dosios T, Glinavou A, Kouvaraki M, Karatzas G. An alternative approach for the surgical management of hydatid disease of the liver. Langenbecks Arch Surg. 2001;386:62–4.
19 . Lawson JR, Gemmell MA. Hydatidosis and cysticercosis: the dynamics of transmission. Adv Parasitol. 1983; 22: 261- 308.
20 . Movchun AA, Koloss OE, Shatverian GA, Abdullaev AG, Alikhanov NKh. Errors and hazards in the surgical treatment of hepatic echinococcosis. Khirurgiia (Mosk). 1991; 11: 113-117.
21.PARK A.(2016)Text book of preventive and social medicin 23th ed . M/s banarisdas bhanot publisher 1167 prem nager Jabalpur 482001(M.P) . INDIA. P.203.
22. Park KH, Jung SI, Jang HC, Shin JH. First successful puncture, aspiration, injection, and re-aspiration of hydatid cyst in the liver presenting with anaphylactic shock in Korea. Yonsei Med J. 2009;50:717–20.
23 . Pedroza I, Saiz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics. 2000; 20: 795-817.
24 . Polat FR. Hydatid cyst: open or laparoscopic approach? A retrospective analysis. Surg Laparosc Endosc Percutan Tech. 2012;22:264–6.
25. Symeonidis N, Pavlidis T, Baltatzis M, Ballas K, Psarras K, Marakis G, Sakantamis A. Complicated liver echinococcosis: 30 years of experience from an endemic area. Scand J Surg. 2013;102:171–7.
26 . Rodriguez AN, Sanchez del Rio AL, Alguacil LV, De Dios Vega JF, Fugarolas GM. Effectiveness of endoscopic sphincterotomy in complicated hepatic hydatid disease. Gastrointest Endosc. 1998; 48: 593-597.
27. Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg. 2001;25:21–27.
28 . Taylor BR, Lange B. Current surgical management of hepatic cyst disease. Adv Surg. 1998; 31: 127-148.
29 . Vakhidov AV, Il’khamov FA, Strusskiĭ LP, Azat’ian TS.Diagnosis and streatment of echinococcosis of the liver complicated by cyst-to-biliary stula. Khirurgiia (Mosk).1998;5: 15-17
30 . Zeybek N, Dede H, Balci D, Coskun AK, Ozerhan IH, Peker S, Peker Y. Biliary fistula after treatment for hydatid disease of the liver: when to intervene. World J Gastroenterology. 2013;19:355–61.
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