Predictive factors of recurrence after surgical treatment for liver hydatid cyst

Jerraya, Hichem; Khalfallah, Mehdi; Osman, Samia Ben; Nouira, Ramzi; Dziri, Chadli

doi:10.1007/s00464-014-3637-0

Cited by 26 publications

(18 citation statements)

References 19 publications

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“…approaches, were originally considered to be the first choice for HCE [20,21]. However, the high probability of postoperative complications and recurrences remains a major problem affecting quality of life an incurring further economic burden [22].…”

Section: Discussionmentioning

confidence: 99%

An integrated surgical training program for hepatic cystic echinococcosis in Xinjiang of China

Zhang

Yang

et al. 2020

PLoS Negl Trop Dis

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Background Human cystic echinococcosis (CE) is one of the commonest zoonoses, and it is endemic in many parts of the world including China. Complications and recurrences after the surgical treatment of hepatic CE (HCE) incur a large personal, healthcare, and societal burden. There has been some progress in HCE prevention, diagnosis, and treatment, but there is no "one size fits all" approach, and surgery still remains the cornerstone of treatment for some cyst stages and locations or in areas with little knowledge or access to other treatment modalities. In 2009 we designed and implemented a program to improve surgical outcomes from HCE in Xinjiang province, China. Methodology/Principal findings A multimodal HCE training program was implemented in eleven primary hospitals in Xinjiang province, China, which provided education and training on HCE clinical knowledge and practice, the application of diagnostic and treatment options, and optimal surgery. The management of HCE cases was analyzed before and after program implementation. Contrast enhanced CT use, application of scoloicidal agents, removal of necrotic cyst wall remnants, appropriate perioperative drug use, and the use of optimal surgical approach increased after program implementation. Further, postoperative recurrences and residual cavity complications creased from 7.4% to 1.3% and 15.2% to 9.0% after program implementation, respectively. Conclusions/Significance Tis integrated surgical training program is useful for improving outcomes of patients with HCE and can be used in institutions in other endemic areas.

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Section: Discussionmentioning

confidence: 99%

An integrated surgical training program for hepatic cystic echinococcosis in Xinjiang of China

Zhang

Yang

et al. 2020

PLoS Negl Trop Dis

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“…Atli [7] and Unalp [13] reported respectively a cyst diameter above 10.5 and 10 cm as predictive factors of occult intrabiliary cyst rupture with no relation between biliary leakage and nature of the cysts, whether primary or recurrent, single or multiple and their location (right lobe, left lobe or both). This complication could affect the surgeon's choice regarding the surgical approach (Laparoscopy or laparotomy) [30] and the surgical procedure (conservative or radical treatment) [31] . Since cyst-biliary communication is a life-threatening condition, early diagnosis and treatment are mandatory.…”

Section: Discussionmentioning

confidence: 99%

“…In this situation, a broad-spectrum antibiotic should be chosen for prophylaxis and patients should be treated surgically as early as possible. In addition, suggesting intrabiliary rupture of the liver hydatid cyst can be useful in patient's selection to percutaneous treatment or laparoscopy [30,32,33] . Intraoperative cholangiography should be done systematically [6] .…”

Section: Discussionmentioning

confidence: 99%

Preoperative predictive factors of liver hydatid cyst occult or frank intrabiliary rupture

Dougaz

Chaouch

Magherbi

et al. 2019

CSRC

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Background: The most frequent complication of liver hydatid cyst is intrabiliary rupture (LHCIBR). This study aimed to investigate preoperative predictive factors of occult and frank LHCIBR. Methods: We conducted a retrospective study concerning patients operated on consecutively for liver hydatidosis for 2 years. Patients were divided into three groups: who had no intrabiliary rupture, patients who had an occult rupture and patients who had a frank rupture. Results: We recorded 56 patients with 82 liver hydatid cysts. LHCIBR was occult in 16 cysts and frank in four cysts. Bivariate analysis identified jaundice and cyst size as associated with frank LHCIBR and US cyst type II or III, recurrent cyst, and size of the hydatid cyst as associated with occult LHCIBR. In the multivariate analysis, we retained jaundice, cyst size > 6.5 cm and duration of symptoms > 45 days as significant predictive factors of frank rupture and cyst size > 6.5 cm, number of recurrences ≥ 3, cyst type II or III, leukocytosis > 9.000/mm 3 and eosinophilia > 5.5% as significant of occult rupture. Conclusion: Misdiagnosis LHCIBR can lead to increased morbidity and mortality. They were avoided by predicting cyst rupture, correct timing and type surgery, proper drainage and preoperative intensive care of patients.

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“…Radical surgical procedures, such as lobectomy or hepatectomy, have recently been increasingly used in the treatment of hepatic HC, and it has been reported that these procedures have low recurrence, morbidity and mortality rates 31,32 . For example, in the meta-analysis conducted by Buttenscho et al the rates of mortality were reported to be 1.2%, morbidity 11.7% and recurrence 2% 25 .…”

Section: Discussionmentioning

confidence: 99%

“…Jerraya et al reported rates of cure to be 90%, mortality 0.7% and recurrence 6% with conservative approaches for HC 32 . In our The majority of HC cases are asymptomatic, but when symptoms do appear, they include upper right quadrant pain, nausea, vomiting, jaundice and fever 18 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Larger Diameter and Multiple Cysts in the Treatment of Giant Hydatid Cysts of Liver

Aziret¹,

Bozkurt²,

Erdem³

et al. 2016

Kafkas J Med Sci

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AIM: Hepatic hydatidosis is a benign, chronic parasitic disease that can affect many organs. The disease is usually asymptomatic, but the cysts that develop as a result of the disease can reach large sizes. We aimed to compare large hydatid cysts (>10 cm) and multiple cysts (>4) in giant hydatid cysts of liver in terms of 39.5 years, 25.5 kg/ m2, 11.75 cm, 9.8 days and 21.4 months, respectively. In Group 2, the patients' mean age, BMI, number of cysts and hospitalization time were 44.7 years, 27.7 kg/m2, 8.3 cysts, 8.6 days and 17.1 months, respectively (p>0.05 yaş, vücut kitle indeksi, kist çapı, hastanede kalma süresi, takip süresi; 39, 5 yıl,25, 5 kg/ m2,11, 75 cm,9,8 gün,21, 4 aydı. Grup 2'de hastaların sırasıyla ortalama yaş, vücut kitle indeksi, kist sayısı, hastanede kalma süresi, takip süresi; 44,7 yıl,27,7 kg/m2,8,3 adet,8,6 gün,17,1 aydı (p>0,05

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Predictive factors of recurrence after surgical treatment for liver hydatid cyst

Abstract: Laparoscopic approach for the treatment of liver hydatid cysts was associated with a higher rate of extrahepatic and peritoneal recurrence than open.

Cited by 26 publications

References 19 publications

An integrated surgical training program for hepatic cystic echinococcosis in Xinjiang of China

An integrated surgical training program for hepatic cystic echinococcosis in Xinjiang of China

Preoperative predictive factors of liver hydatid cyst occult or frank intrabiliary rupture

Comparison of Larger Diameter and Multiple Cysts in the Treatment of Giant Hydatid Cysts of Liver

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