Percutaneous treatment of a complex hydatid cyst of the liver under sonographic control Report of the first case

Bastid, C; Ayela, P; Sahel, J

doi:10.1016/s0399-8320(05)80735-3

Cited by 22 publications

(12 citation statements)

References 7 publications

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“…This procedure uses the same needle electrodes that are used for local treatments of hepatocellular carcinomas. The experience with RF is still very limited, however, 60,61 and preliminary reports are rather disappointing because nearly all the cysts treated relapsed after a few months. 62 Other percutaneous techniques.…”

Section: Treatment Modalities Currently In Usementioning

confidence: 99%

Clinical Management of Cystic Echinococcosis: State of the Art, Problems, and Perspectives

Junghanss

Silva

Horton³

et al. 2008

Am J Trop Med Hyg

337

269

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Clinical management of cystic echinococcosis (CE) has evolved over decades without adequate evaluation of important features such as efficacy, effectiveness, rate of adverse reactions, relapse rate, and cost. CE occurs in health care environments as different as Europe/North America and resource-poor countries of the South and the East. This creates setting-specific problems in the management of patients. Furthermore, studies carried out in either of the two fundamentally different environments lack external validity, i.e., results obtained in one setting may be different from those in the other and practices that can work in one may not be applicable to the other. In this paper, we review the current management procedures of CE with particular emphasis on the evidence base and setting-specific problems.

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Section: Treatment Modalities Currently In Usementioning

confidence: 99%

Clinical Management of Cystic Echinococcosis: State of the Art, Problems, and Perspectives

Junghanss

Silva

Horton³

et al. 2008

Am J Trop Med Hyg

337

269

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“…Although there have been some doubts regarding the safety of RFT in patients with cysts in the early, infective stage with plentiful fluid content, 26 after a 2-year follow-up period in our hospital, there were no signs of relapse in our patient to date, which is in accordance with the previously reported adult patient case report. 27 The first experiences with RFT in 6 patients with stage CE3b cysts were rather disappointing, due to cyst relapse in 4 patients, which was speculated to be caused by the complex structure of the cyst, which prevented the full ablation of all daughter vesicles. 28 However, the method was also considered as unsuitable for the treatment of superficial or peritoneal lesions, and RFT was abandoned with time.…”

Section: Discussionmentioning

confidence: 99%

Repeated Percutaneous Treatment of Massive Hepatic Cystic Echinococcosis in a Child

et al. 2018

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Because of mostly asymptomatic cyst growth and often-neglected nonspecific low-grade symptoms, many cases of cystic echinococcosis (CE) caused by Echinococcus granulosus in the pediatric population are diagnosed at school age, in an advanced and even complicated stage. In 2003, after 5 months of intermittent dull upper-right abdominal pain and nausea, a 13-year-old boy was diagnosed with massive liver CE, with ∼20 round-shaped double-walled medium-sized infective cysts, which permeated the whole liver. Because of their wide distribution across the liver tissue and the risky superficial position of some cysts, liver transplantation emerged as the optimal therapeutic option. Despite being described as only an exceptionally used method for CE, we subjected our patient on 4 occasions to a radiofrequency energy thermoablation (RFT) procedure similar to the one used for malignant neoplasms. In total, 9 superficially situated cysts were initially treated with RFT by using a 14-gauge outer needle and a temperature of 70°C for 8 minutes per cyst, and the remaining cysts were treated with the puncture-aspiration-instillation-reaspiration procedure, along with albendazole (15 mg/kg per day) therapy, for a period of 20 months. After 2 years of follow-up, 4 residual small-sized semisolidified cysts were seen in the liver, and the patient showed no signs of relapse. Although not routinely used, RFT, along with puncture-aspiration-instillation-reaspiration and prolonged albendazole therapy, has shown good tolerability and long-term efficacy in the treatment of multiple infective CE, which could suggest the usefulness of the RFT method beyond salvage situations in pediatric patients.

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“…Bastid et al 18 reported successful RFA treatment in one case with complex hydatid cyst in 2005. However, of 5 patients with solid liver cysts treated by RFA, only one case did not show daughter cysts between 6 and 18 months after the intervention.…”

Section: Discussionmentioning

confidence: 99%

Pericyst Radiofrequency Ablation Treatment for Hepatic Alveolar Echinococcosis

Lederer¹,

Wiedermann²,

Bale³

2012

Infectious Diseases in Clinical Practice

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Cystic disease of the liver caused by Echinococcus multilocularis remains a serious health concern in many countries. Curative treatment is often restricted to centers with facilities for liver surgery. However, surgical removal of cysts carries the risk of intraoperative or postoperative complications, including the probability of spreading contents, anaphylactic reaction, hemorrhage, infection, abscess formation, and biliary fistula. Pericyst radiofrequency ablation, without penetrating the exocyst, could turn out to be a safe and liver tissueYsparing treatment option. Furthermore, a hospital stay of 2 to 3 days means a reduction in overall costs for hospitalization and treatment.

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Percutaneous treatment of a complex hydatid cyst of the liver under sonographic control Report of the first case

Cited by 22 publications

References 7 publications

Clinical Management of Cystic Echinococcosis: State of the Art, Problems, and Perspectives

Clinical Management of Cystic Echinococcosis: State of the Art, Problems, and Perspectives

Repeated Percutaneous Treatment of Massive Hepatic Cystic Echinococcosis in a Child

Pericyst Radiofrequency Ablation Treatment for Hepatic Alveolar Echinococcosis

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