Operative Therapie des Echinococcus granulosus (cysticus)

Göksoy, Ertuğrul; Düren, Mete

doi:10.1007/s001040050004

Cited by 15 publications

(19 citation statements)

References 17 publications

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“…However, with more conservative procedures, the rate of recurrence reaches 12%. 1,4,8,[10][11][12][13][14][15][16][17] Our results are in line with these reports, since statistical analysis indicated that the most important determinants for recurrence of hydatid cysts were rupture and minute spillage of the hydatid cyst, missing the cysts pre-or intraoperatively and incomplete pericystectomy.…”

Section: Discussionsupporting

confidence: 90%

“…However, there is a trade-off between a low recurrence rate and increased mortality associated with the procedure. 1,8,13,16,17 In our clinic, we do not usually perform radical excisions, which entail increased mortality, for such nonmalignant disease. We usually perform radical excisions in selected patients without any comorbid diseases, especially in patients with solitary cysts located peripherally, with good long-term results.…”

Section: Discussionmentioning

confidence: 99%

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Postoperative recurrence of cystic hydatidosis

et al. 2012

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Background: Surgical management is the basic treatment for hydatid disease. Overall, the recurrence rate appears to be high (4.6%-22.0%). The purpose of this study was to report our results in the management of recurrent hydatid disease, evaluating the methods for identifying recurrence, prognostic factors and therapeutic options. Methods:We retrospectively reviewed the medical records of patients who underwent surgery for cystic hydatidosis between 1970 and 2003.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Postoperative recurrence of cystic hydatidosis

et al. 2012

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“…Besides, echinococcal infection of the liver can cause systemic problems like sepsis due to bacterial translocation and/or allergic complications resulting from rupture of the cysts and host sensitization. Local complications include cholestasis, cholangitis and pancreatitis [2, 3, 4, 5, 6, 7, 8, 9, 10, 11]. …”

Section: Introductionmentioning

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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“…Invasion of the spleen is relatively rare. Splenic hydatidosis is seen in the third place in the order of frequency after hepatic and lung invasion [1, 2, 3]. Primary splenic hydatidosis is quite rare.…”

Section: Introductionmentioning

confidence: 99%

Primary Splenic Hydatidosis

Durgun

Kapan²,

Kapan³

et al. 2003

Dig Surg

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Background: A hydatid cyst is still a serious health problem in endemic areas. Invasion of the spleen is rare in hydatid disease. In the medical literature, reports about isolated splenic hydatidoses are quite rare. Also there is not a consensus about the way of treatment. Methods: Between 1978 and 2000, in our clinic approximately 900 patients were operated on for an abdominal hydatidosis; 850 of these patients were treated for a hepatic hydatidosis and 14 patients for an isolated splenic hydatidosis. Six (42.8%) of the latter patients were male and 8 (57.1%) were female. The mean age of the patients was 47.14 ± 4.9 (range 17–72) years. Ten patients (71.4%) presented with a painful mass in the left upper quadrant of the abdomen, and the other 4 patients (28.5%) were asymptomatic and were diagnosed incidentally. Results: All of the patients underwent elective splenectomy. There was no mortality, but complications occurred in 4 (28.5%) patients. The period of hospitalization ranged from 7 to 17 days with a mean of 9.8 days. 1 patient died from an acute myocardial infarction during the 2nd postoperative year, and 1 patient died as a consequence of a traffic accident during the 5th postoperative year. Nine patients, after follow-up periods of between 2 and 14 years, are living free from disease. No recurrence occurred in any of them. In the remaining 3 patients, long-term follow-up could not be maintained. Conclusions: A hydatid cyst must be included in the differential diagnosis of cystic lesions of the spleen. A splenic hydatid cyst should be treated surgically due to the high risk of a rupture, and the ideal procedure in adulthood is standard splenectomy.

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Operative Therapie des Echinococcus granulosus (cysticus)

Cited by 15 publications

References 17 publications

Postoperative recurrence of cystic hydatidosis

Postoperative recurrence of cystic hydatidosis

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

Primary Splenic Hydatidosis

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