Radical versus conservative surgical treatment of liver hydatid cysts: A paired comparison analysis

Farhat, Waad; Ammar, Houssem; Rguez, Arib; Harrabi, Fathia; Said, Marwa; Ghabry, Linda; Gupta, Rahul; Cheikh, Asma Ben; Ghali, Héla; Rajeb, Mohamed Ben; Mabrouk, Mohamed Ben; Ali, Ali Ben

doi:10.1016/j.amjsurg.2021.12.014

Cited by 18 publications

(9 citation statements)

References 28 publications

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“…In terms of overall morbidity, result in our study is consistent with Georgiou GK, et al [ 9 ] and Farhat W et al [ 19 ]. Georgios K, et al [ 9 ], conducted a retrospective cohort study of 232 patients with hepatic cystic echinococcosis and found a lower rate of morbidity and post-operative complication in the RS group.…”

Section: Discussionsupporting

confidence: 92%

“…However, out of our expectation, we found 0.6 h shorter operation time in the RS group. As for blood loos during surgery, result in our study is in accordance with Farhat W et al [ 19 ] who observed a higher incidence of intraoperative bleeding in the RS group. On the contrary, Daradkeh S et al [ 26 ], found no significant difference in intraoperative blood loss in a prospective randomized control study involving 32 patients.…”

Section: Discussionsupporting

confidence: 91%

“…Georgios K, et al [ 9 ], conducted a retrospective cohort study of 232 patients with hepatic cystic echinococcosis and found a lower rate of morbidity and post-operative complication in the RS group. Farhat W et al [ 19 ], by using paired comparison analysis in a cohort of 914 patients, observed lower rate of overall morbidity in the RS group before and after paired-match. The same outcome was observed in our cohort.…”

Section: Discussionmentioning

confidence: 99%

“…Pang Q et al [ 20 ] found no difference in length of surgery between CS and RS group. Efanov M et al [ 11 ], Farhat W et al [ 19 ] observed that RS was more time consuming. Also, Akbulut S et al [ 25 ] estimated about 30 min shorter operation time in the CS group.…”

Section: Discussionmentioning

confidence: 99%

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Association between radical versus conservative surgery and short-term outcomes of hepatic cystic echinococcosis in Nyingchi, China: a retrospective cohort study

Huang,

Zheng,

Aduo

et al. 2023

BMC Surg

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Background Radical or conservative surgical treatment for hepatic Cystic Echinococcosis (hepatic CE) is controversial. We aimed to measure the association between radical surgery (RS) versus conservative surgery (CS) and short-term outcomes in our cohort. Methods Medical records of hepatic CE patients’ demographic, clinical, radiological, operative and postoperative details who underwent surgical treatment between January 3, 2017 and January 3, 2018 at the Department of General Surgery, Nyingchi People's Hospital, Nyingchi, China, were retrieved and analyzed. The primary outcome was overall morbidity. The secondary outcomes included: (i) bile leakage; (ii) complications of lung, pleura, heart, liver, pancreas and biliary tract; (iii) incision infection and residual cavity abscess formation; (iv) anaphylactic reaction and shock; (v) tear of surrounding tissues; (vi) hospital and post-operative length of stay (LOS); (vii) length of surgery; (viii) blood loss during surgery. Multivariable logistic/linear regression models with various adjustment strategies for confounders were performed to evaluate the association. Results A total of 128 hepatic CE patients were included with 82 (64.1%) and 46 (35.9%) receiving CS and RS, respectively. After fully adjusted, RS was associated with 60% lower risk of overall complication (aOR 0.4; 95%CI, 0.2–0.9) and 0.6-h shorter surgical time (aβ 0.4; 95%CI,-0.0–0.8) comparing to CS. However, RS was associated with more blood loss during surgery (aβ 179.3; 95%CI, 54.2–304.5). Conclusion To conclude, RS was associated with a 60% reduction in developing overall complication in the short term, but may result in more blood loss during surgery than CS.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association between radical versus conservative surgery and short-term outcomes of hepatic cystic echinococcosis in Nyingchi, China: a retrospective cohort study

Huang,

Zheng,

Aduo

et al. 2023

BMC Surg

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“…Medical treatment alone is ineffective, whereas laparoscopic or open surgical management of HCD is an integral treatment component[ 5 - 6 ]. With advances in minimal access surgery, laparoscopic HCD surgery is increasingly being performed, varying from the more conservative choice of partial cystectomy and omentoplasty to the more radical choice of pericystectomy or hepatic resection determined by cyst location, cyst size, risk of complications, and surgical expertise[ 7 ]. As HCD is benign, liver resections are avoided as much as possible to reduce perioperative morbidity, such as liver failure[ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Biliary fistula and late recurrence of liver hydatid cyst: Role of cysto-biliary communication: A prospective multicenter study

Habeeb,

Podda,

Tadic

et al. 2023

World J Methodol

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The documentation of psychological trauma is obviously a challenge to clinicians while they are diving deep into remote events related to their clients or patients. The potential role of psychological trauma in the early developmental stages, and even the existence of adverse childhood experiences, is important to prove, yet it is difficult to do so. A diverse range of methods have been applied, all of which presumably benchmark a big therapeutic step; however, these enthusiastic methods frequently do not last for long. While hypnosis supporters, Freudian and Neo-Freudian disciples can be acute enough to enhance and uncover suppressed memories, modern psychiatry relies mostly on diversely structured interviews. Functional magnetic resonance and its related subtleties might help, but the questions that remain unanswered are numerous and confusing. Connecting early experiences with long-term memory while identifying psychological trauma its importance for the individual’s growth trajectory; thus, it remains an intriguing issue.

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Multiple recurrent cystic hydatid disease of abdominal cavity

Huang

Wang

2022

Asian Journal of Surgery

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Radical versus conservative surgical treatment of liver hydatid cysts: A paired comparison analysis

Cited by 18 publications

References 28 publications

Association between radical versus conservative surgery and short-term outcomes of hepatic cystic echinococcosis in Nyingchi, China: a retrospective cohort study

Association between radical versus conservative surgery and short-term outcomes of hepatic cystic echinococcosis in Nyingchi, China: a retrospective cohort study

Biliary fistula and late recurrence of liver hydatid cyst: Role of cysto-biliary communication: A prospective multicenter study

Multiple recurrent cystic hydatid disease of abdominal cavity

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