Echinococcus of the liver.

Morris, D. L.

doi:10.1136/gut.35.11.1517

Cited by 16 publications

(12 citation statements)

References 15 publications

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“…The MBZ fluorinated analog does not penetrate the cyst, and therefore the drug is not an alternative for treatment. [15][16][17] The benzimidazole carbamates have a direct effect on the cumulus oophorus and on the wall of the cyst. Younger cysts and cysts with thin walls show a better response.…”

Section: Medical Treatmentmentioning

confidence: 99%

Changing Concepts in the Management of Liver Hydatid Disease

Dervenis

Delis

Avgerinos

et al. 2005

Journal of Gastrointestinal Surgery

105

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Section: Medical Treatmentmentioning

confidence: 99%

Changing Concepts in the Management of Liver Hydatid Disease

Dervenis

Delis

Avgerinos

et al. 2005

Journal of Gastrointestinal Surgery

105

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“…surrounded by or adherent to large vessels, a risk versus benefit evaluation may be carried out for deciding on an operative procedure that offers maximum radicality with the highest safety for the patient. It has been demonstrated that in such conditions, a carefully performed endocystectomy provides a definitive curative therapy option [20]. …”

Section: Discussionmentioning

confidence: 99%

A Retrospective Study Comparing the Different Surgical Procedures for the Treatment of Hydatid Disease of the Liver

Müeller¹,

Bröering²,

Vashist³

et al. 2003

Dig Surg

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Background/Aims: The purpose of this study was to compare the security and effectiveness of the different surgical procedures used for treatment of the liver infestations with larvae of the dog tapeworm (Echinoocccus granulosus). Methods: 55 patients with echinococcal cysts in the liver were treated surgically at our department between 1987 and 1999. The patients were grouped according to the mode of surgical technique and comprised 16 anatomical liver resections, 26 pericystectomies and 13 endocystectomies. The results of the different procedures have been analyzed statistically. Results: The decision which procedure was to be performed was based on the severity of the disease. Complications requiring relaparotomy occurred in 5% of all cases, not showing any predisposition to a certain technique. Blood loss and duration of hospitalization was lowest in the endocystectomy group; however, the differences were not statistically significant. At a median follow-up period of 84 months, recurrences were noted in 2 cases (4%), 1 after pericystectomy and 1 after resection. Conclusion: There was no substantial evidence that the more radical procedure carries a lower risk of recurrence, and there was convincing evidence that endocystectomy is the most careful procedure in regard to blood loss and duration of hospitalization.

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“…Echinococcosis affects the liver rather than other organs in 50-70 % of cases (3)(4)(5)(6)(7). While surgery is recognized as the only satisfactory method of treatment for liver echinococcosis (LE), many controversial results have been reported but total excision of the cyst alone or with part of the liver appears to be the most effective (8)(9)(10)(11).…”

Section: Introduction Introductionmentioning

confidence: 99%

Surgical treatment of complicated liver echinococcosis - Our experience with 184 cases in 10 Years

Berbece¹,

Blajut²,

Ciurea³

et al. 2016

JTMR

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Background:The aim of this study was to analyze the treatment of patients with complicated liver hydatid cysts. Methods: The records of 184 patients who had undergone surgery for complicated liver hydatid cyst in our institution during 2005 and 2014 were reviewed retrospectively. Results: Among all complications, the most common were intrabiliary rupture (140 patients) and suppuration of the cysts (27 patients). Eleven cases had a combination of two complications. Other complications were rupture in the thorax (4 cases), rupture in the peritoneum (7 patients) and vascular erosions (6 patients). Surgery was based on the nature of complications, number and sizes of hydatid cysts and patients general condition. The surgical treatment of choice was partial (peri) cystectomies and drainage of the residual cavity with suture of the biliary fistula. In cases with complications such as suppuration, remaining bile fistulas, large cyst cavities or extrahepatic location, external drainage of the common bile duct (CBD)was mandatory. Post-operative complications occurred in 45 patients (24.4 %). Postoperative mortality was 1 % (two patients). Conclusion: Appropriate investigation and well planned surgical techniques may improve the outcome of complicated liver echinococcosis. These data suggest that cyst diameter is an independent factor that is associated with a high risk of biliary-cyst communication in clinically asymptomatic patients. Preoperative endoscopic retrograde cholangiopancreatography (ERCP) should be performed in these asymptomatic patients to reduce the incidence of postoperative complications.

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Echinococcus of the liver.

Cited by 16 publications

References 15 publications

Changing Concepts in the Management of Liver Hydatid Disease

Changing Concepts in the Management of Liver Hydatid Disease

A Retrospective Study Comparing the Different Surgical Procedures for the Treatment of Hydatid Disease of the Liver

Surgical treatment of complicated liver echinococcosis - Our experience with 184 cases in 10 Years

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