Surgical approaches to hepatic hydatidosis ranging from partial cystectomy to liver transplantation

Abstract

Backgrounds/AimsA wide range of surgical approaches has been described for hepatic hydatidosis aiming primarily at the reduction of disease recurrence and minimization of postoperative morbidity.MethodsA database analysis of patients with liver hydatidosis who underwent different surgical procedures between March 2010 and May 2016 was performed.ResultsA total of 21 patients with cystic echinococcosis (CE) and four cases of alveolar echinococcosis (AED) were detected. Nine patients manifested recurrent disease at presentation. Among CE cases, 5 underwent partial cystectomy (2 laparoscopic and 3 open), 9 cysto-pericystectomy (7 open and 2 robotic) and 7 hepatectomies (1 central, 4 right, 1 left and 1 right trisectionectomy). Living donor liver transplantation was performed in 3 patients with AED and the fourth patient underwent right trisectionectomy with en bloc resection of hepatic flexure and right diaphragm. Seven developed Clavien grade II and three grade III complications. The mean follow-up of CE was 34.19±19.75 months. One patient of laparoscopic partial cystectomy developed disease recurrence at 14 months. No recurrence was detected at a mean follow-up of 34±4.58 months following LDLT and at 24 months following multivisceral resection for AED.ConclusionsThe whole spectrum of tailored surgical approaches ranging from minimally invasive to open and extended liver resections represents safe, effective and recurrence-free treatment of hepatic hydatidosis.

Worldwide literature on epidemiology of human alveolar echinococcosis: a systematic review of research published in the twenty-first century

“…Noticeably, a paper from the UK showed an Afghan patient who migrated from Pakistan; the authors discuss the infection originating in Afghanistan [22]. There was evidence of isolated cases in India and, as far as we know, the first case was reported in Pakistan [23][24][25][26][27][28][29][30].…”

Clinical profile and surgical outcome of abdominal hydatid cyst at a university hospital in Nepal

“…He developed acute severe pancreatitis and expired on 11 th postoperative day, the 2 nd day following ERCP. Mean hospital was 8.57±2.24 days (6)(7)(8)(9)(10)(11)(12)(13)(14). Demographically 8 (57.15%) patients were from Kathmandu valley, (Table 3).…”

“…2,11 The option of treatment for hydatid cyst ranges from simple cyst drainage (evacuation) to resection of the whole or part of the involved organ, or liver transplantaion. 2,10,13,14 In this study, we performed open surgery deroofing, evacuation, marsupialization and omentoplasty for liver cyst and laparoscopic evacuation in one only. The laparoscopic surgery has been recently started in our center.…”

“…Literature describes many surgical options, like simple evacuation, capitonnage, deroofing, omentoplasty, pericystectomy and resection. 3,7,13 Our hospital practice is to prescribe albendazole for at least one week prior to surgery and one full course of three weeks after the surgery. Albendazole, mebendazole and praziquantel are good chemotherapeutic agents for HD but efficacy of albendazole is better than others.…”

Karaci̇ğer Ki̇st Hi̇dati̇ği̇nde Peri̇ki̇stektomi̇: Tek Merkez Deneyi̇mi̇mi̇z

“…Hasta seçiminde anatomik ulaşımın kolaylığı kadar anatomik oluşumlar ile olan iştiraki de dikkate alınmalıdır (2). Majör damarlarda (özellikle portal ven-hepatik ven) veya safra kanalında tıkanıklık o segment veya lobda atrofiye sebep olurken diğer segmentler veya karşı lobda da hipertrofi sebebi olabilmektedir.…”