A comparison of imaging guided double percutaneous aspiration injection and surgery in the treatment of cystic echinococcosis of liver

Shera, Tahleel Altaf; Choh, Naseer A.; Gojwari, Tariq; Shera, Faiz Altaf; Shaheen, Feroze; Wani, Ghulam Muhammad; Robbani, Irfan; Chowdri, Nisar Ahmad; Shah, Altaf

doi:10.1259/bjr.20160640

Cited by 11 publications

(6 citation statements)

References 30 publications

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“…In addition, we performed a meta-analysis with two RCTs (n = 92) on recurrence, post-operative complication rate and duration of hospital stay (Figs. 1, 2 and 3, respectively) [27,28]. In the recurrence analysis, the pooled estimates suggested a lower, but statistically nonsignificant, recurrence rate after percutaneous procedure (RR 0.37, 95% CI 0.12 to 1.15).…”

Section: Resultsmentioning

confidence: 86%

“…A study conducted in India by Shera et al [27] (2017) compared surgery to DPAI (double percutaneous aspiration injection), an aspiration technique that is repeated after 3-7 days, with the intention to eliminate scolices which may have survived the first treatment weeks. Both arms contained 21 randomly assigned patients each.…”

Section: Resultsmentioning

confidence: 99%

“…length of hospital stay), fixed-effect models and weighted mean differences were used. An unsuccessful attempt was made to retrieve missing standard deviations for one study, Shera et al [27], by contacting the corresponding author. Eventually, the standard deviations were estimated by using the 'finding SDcalculator' option of RevManager, assuming that standard deviations were equal in both intervention groups.…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous Versus Surgical Interventions for Hepatic Cystic Echinococcosis: A Systematic Review and Meta-Analysis

Mönnink

Stijnis

Delden

et al. 2021

Cardiovasc Intervent Radiol

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Purpose This systematic review and meta-analysis summarises the current literature on invasive treatment options of cystic hepatic echinococcosis (CE), comparing percutaneous radiological interventions to surgery, still the cornerstone of treatment in many countries. Methods A literature search was conducted in Medline and EMBASE databases (PROSPERO registration number: CRD42019126150). The primary outcome was recurrence of cysts after treatment. Secondary outcomes were complications, duration of hospitalisation, mortality and treatment conversion. Results The number of eligible prospective studies, in particular RCTs, was limited. In the four included studies, only conventional surgery is compared directly to percutaneous techniques. From the available data, in terms of recurrence, percutaneous treatment of hydatid cysts is non-inferior to open surgery. With regard to complications and length of hospital stay, outcomes favour percutaneous therapy. Conclusion Although evidence from prospective research is small, percutaneous treatment in CE is an effective, safe and less invasive alternative to surgery.

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Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Percutaneous Versus Surgical Interventions for Hepatic Cystic Echinococcosis: A Systematic Review and Meta-Analysis

Mönnink

Stijnis

Delden

et al. 2021

Cardiovasc Intervent Radiol

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“…Today, it is widely accepted that the PAIR technique is effective and safe with less mortality and morbidity rate, cost, complications, hospital stay, and high cure rate compared to surgical methods and treatments. 10,[12][13][14] Pre and postprocedural combination of ABZ together with PAIR is more effective and has less recurrence rate compare to PAIR alone. 15,16 Different percutaneous techniques such as the double puncture aspiration injection (DPAI) technique, simple thin catheter, modified catheter technique (MoCAT); special cutting device, percutaneous evacuation technique were used in cysts larger than 5cm in diameter or the multivesiculated and/or complicated cysts.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous treatment with the ormeci technique of cystic echinococcosis: experience of single center

Örmeci¹,

Asiller²,

Cardoso³

et al. 2020

GHOA

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Background: Hydatid disease is caused by the larval stage of Echinococcus Granulosis which is an important public health and economic problem. The treatment of hydatid cyst is not optimal yet.Objective: We want to show the Ormeci technique is the one of the best treatment options of hydatid cyst. Materials and methods:Five hundred thirty-seven patients with seven hundred and sixteen hydatid cysts had been treated by percutaneous way using the Ormeci technique since 1991. The percutaneous puncture was performed under sonographic guidance using a 22-gauge Chiba needle as a one-step procedure in CE type 1 and 3A. However, two to six Chiba needles were used in different locations at the same time in CE type 2b, 2c and 3B cysts. The mean follow-up time was 51.24±62.99 (minimum 3.00, maximum 340.00) months. Results:This technique increased the cure rate of CE type 2 and 3B hydatid cysts up to 91.7% without recurrences. The success rate for all types of cysts treated was 95% without mortality. The technique had less morbidity (8.86%) without fistula and abscess. Conclusion:Ormeci technique can be safely and successfully used for the treatment of all kinds of active hydatid cysts.

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“…Выполняется процедура с помо- (47,8%) температуры после проведения процедуры, что завышает процент осложнений. Частота рецидива также значительно варьирует от 0 до 48% [33,40,41,42].…”

Section: технология Pairunclassified

To the Question about Mini-Invasive Surgery of Liver Echinococcosis

Калмыков¹,

Гулов²,

Капустин³

et al. 2019

Novosti Khirurgii

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A comparison of imaging guided double percutaneous aspiration injection and surgery in the treatment of cystic echinococcosis of liver

Cited by 11 publications

References 30 publications

Percutaneous Versus Surgical Interventions for Hepatic Cystic Echinococcosis: A Systematic Review and Meta-Analysis

Percutaneous Versus Surgical Interventions for Hepatic Cystic Echinococcosis: A Systematic Review and Meta-Analysis

Percutaneous treatment with the ormeci technique of cystic echinococcosis: experience of single center

To the Question about Mini-Invasive Surgery of Liver Echinococcosis

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