Radical <i>versus</i> conservative surgical treatment of liver hydatid cysts

Malki, Hadj Omar El; Souadka, Amine; Benkabbou, Amine; Mohsine, Raouf; Ifrine, L.; Abouqal, Rédouane; Belkouchi, A.

doi:10.1002/bjs.9408

Cited by 35 publications

(13 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Surgical treatment for HCE can be classified into two main categories: radical and non-radical. In general, radical surgery results in fewer recurrences and postoperative complications [23]. We adopted sub-adventitial (total and partial) cystectomy as the radical surgery due to its extremely low recurrence rates in elective patients in our hospital.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Despite advances in medical treatment and radiological interventions, the main treatment remains surgery [5,8,9] . Surgical procedures range from simple drainage to complex resections and transplantation [8–17] . In all procedures, the objective is to remove the entire hydatid mass without causing any spillage [12,13] .…”

Section: Discussionmentioning

confidence: 99%

“…Although drainage procedures are widely used, the results are controversial [8,12,15] . Some authors recommend more radical interventions, such as cystectomy or hepatectomy, especially for smaller, peripherally located cysts [12] . With these procedures, the morbidity and mortality are expected to be more favorable [12,17] .…”

Section: Discussionmentioning

confidence: 99%

Navigation liver surgery for complex hydatid cyst with biliary tree communication

Panaro

Habibeh

Pessaux

et al. 2015

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…9 They reiterated this finding in a later study (n=170; 1.7% vs 4%, respectively). 10 Surgical advancements have led to increasing use of laparoscopic methods. Some are unconvinced about its effectiveness in preventing spillage because of possible technical limitations compromising complete evacuation of cystic contents and accessibility of some ectocysts.…”

Section: Surgerymentioning

confidence: 99%

“…9 Other variables relevant to recurrence after surgery have been postulated (Table 2). 10 A retrospective study (n=391) concluded that the main predictive factors of recurrence were cysts >7cm, rural origin of patients, and unilocular hydatid cysts. They hypothesised that voluminous and unilocular cysts may relapse most often because of their immunogenic character and presence of exocysts within pericysts.…”

Section: Surgerymentioning

confidence: 99%

Recurrent hydatid disease, a case report and literature review

2021

View full text Add to dashboard Cite

Hydatid disease (HD) remains endemic in Australia, with estimated incidence highest in rural and indigenous populations. Its recurrence is defined by new active cysts arising after appropriate therapy, and affects anywhere between 2-25% of total cases. Available treatment options include surgical resection, percutaneous drainage, and chemotherapy. Interestingly, their individual contributions to long-term minimisation of recurrence are scarcely described in the literature. We present a unique case of a 27-year-old female with recurrent hepatic HD requiring repeat operations and long-term chemotherapy. Prevention and treatment of recurrent HD requires careful evaluation of a multitude of factors, including disease characteristics, patient attributes, physician expertise and availability of resources. Consistent long-term follow up is required to better ascertain the long-term efficacy of reported treatment modalities for preventing recurrence. Despite a growing body of research looking at treatment of HD, there remains a considerable amount of controversy regarding most effective approach for minimising and preventing its recurrence.

show abstract

Radical versus conservative surgical treatment of liver hydatid cysts

Abstract: This study could not demonstrate that radical surgery reduces recurrence and no trend towards such a reduction was observed.

Cited by 35 publications

References 34 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

Navigation liver surgery for complex hydatid cyst with biliary tree communication

Recurrent hydatid disease, a case report and literature review

Contact Info

Product

Resources

About