Resection versus pericystectomy in the treatment of hydatidosis of the liver

Belli, L; Favero, Elena; Marni, A; Romani, F

doi:10.1016/0002-9610(83)90070-3

Cited by 70 publications

(52 citation statements)

References 9 publications

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“…The reported incidence of multiple cysts varies from 15 to 40% [13, 14, 15, 16]. Vara-Thorbeck et al [16]and Gollacker et al [15]have reported a postoperative mortality of 2.3 or 2.7%.…”

Section: Discussionmentioning

confidence: 99%

“…Vara-Thorbeck et al [16]and Gollacker et al [15]have reported a postoperative mortality of 2.3 or 2.7%. The reported morbidity after surgical treatment of echinococcosis varies from 0 to 30% [13, 14, 15, 16, 17]. Belli et al [13]observed a gall bladder fistula which discharged over a period of 3 months in 60% of the cases treated by marsupialization and insertion of an external drain, while the complication rate after pericystectomy and resection was 5%.…”

Section: Discussionmentioning

confidence: 99%

“…The reported morbidity after surgical treatment of echinococcosis varies from 0 to 30% [13, 14, 15, 16, 17]. Belli et al [13]observed a gall bladder fistula which discharged over a period of 3 months in 60% of the cases treated by marsupialization and insertion of an external drain, while the complication rate after pericystectomy and resection was 5%. Gollacker et al [15]have reported a relapse rate of 15%, occurring in some cases even after 20 years.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…The reported incidence of multiple cysts varies from 15 to 40% [13, 14, 15, 16]. Vara-Thorbeck et al [16]and Gollacker et al [15]have reported a postoperative mortality of 2.3 or 2.7%.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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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“…Pericystectomy is not thought as a massive surgical procedure like hepatic resections and pericystectomy or total cystectomy may be used in surgical treatment of peripherally localized hydatid cysts [20]. Hepatic resection is offered when one or more cysts have destroyed one lobe, and compensatory hypertrophy of the contralateral lobe exists [21]. Omentoplasty is filling the cyst cavity with omental pedicle.…”

Section: Discussionmentioning

confidence: 99%

Rupture of the Hydatid Disease of the Liver into the Biliary Tracts

Paksoy¹,

Karahasanoğlu²,

Çarkman³

et al. 1998

Dig Surg

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Background: To analyze the diagnosis and the surgical treatment of intrabiliary ruptured hydatid disease of the liver. Methods: Between 1990 and 1995, 263 patients with hydatid cysts of the liver underwent surgery in a university hospital. Twenty-five (9.43%) patients with intrabiliary rupture of hepatic hydatid cyst were retrospectively reviewed. Results: Diagnosis was principally made using ultrasonography and computed tomography scanning and was confirmed by the findings of other tests. In 12 patients (48%) partial cystectomy with primary closure; 5 patients (20%) partial cystectomy with drainage; 5 patients (20%) cystotomy with drainage; 3 patients (12%) left hepatic resection (atypic, segmentary or lobar) was performed. Omentoplasty was performed in 6 patients. The common bile duct was explored in all patients and it was drained by a T-tube in 22 patients, and by a choledochoduodenostomy in 3 others. The average postoperative hospitalization time was 8.3 and 22.5 days in patients treated with choledochoduodenostomy and T-tube drainage respectively. Cholecystectomy was performed in 18 patients. Complications were seen in 4 patients (16%) with 1 pleural effusion and 3 wound infections. There was only 1 death (4%) due to duodenal peptic ulcus perforation with intrabiliary ruptured hydatid cyst. Conclusion: This study indicates that T-tube drainage and choledochoduodenostomy in intrabiliary ruptured hydatid cysts are effective procedures with low morbidity and mortality rates.

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“…Segmental resection or hemihepatectomy should be reserved for cases where multiple cysts have destroyed a segment or the lobe of liver. 16 Follow-up of these cases has been difficult. Only 14 patients were followed for 3 to 18 months.…”

Section: Discussionmentioning

confidence: 99%

Hydatid Disease of The Liver in Riyadh

et al. 1988

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Sixty-eight patients with hydatid disease involving various organs were admitted to Riyadh Central Hospital during a two-year period. The liver was involved in 42 patients, and 33 of them were treated surgically. Casoni's intradermal test (87% positive) and ultrasonography were the two most helpful investigations for establishing the diagnosis. Computerized tomography helped in better localization of the cyst and planning a suitable surgical procedure. Total cystoperiocystectomy was carried out on five patients, and three patients were treated by endocystectomy with omentoplasty. No complications were noted among these patients. Endocystectomy with tube drainage was performed on 23 patients. This procedure was found most suitable for the majority of patients. Complications can be minimized by careful attention to any biliary communications and earlier removal of the drainage tube. There was no mortality following surgery in this series, but one patient died of anaphylaxis following percutaneous transhepatic cholangiography. Twenty percent hypertonic saline was used as a scolecidal agent in this series, and mild hypernatremia was noted among some patients. Serum sodium monitoring is recommended during the immediate postoperative period.A Al-Kraida, MK Alam, SQ, QO Al-Qasabi, AM Bashier, Hydatid Disease of The Liver in Riyadh. 1988; 8(2): 117-121 MeSH

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Resection versus pericystectomy in the treatment of hydatidosis of the liver

Cited by 70 publications

References 9 publications

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

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

Rupture of the Hydatid Disease of the Liver into the Biliary Tracts

Hydatid Disease of The Liver in Riyadh

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