Surgical management of hydatid liver disease

Georgiou, G.; Lianos, Georgios D; Lazaros, Avrilios; Harissis, Haralampos V.; Mangano, Alberto; Dionigi, Gianlorenzo; Katsios, Christos

doi:10.1016/j.ijsu.2015.06.058

Cited by 44 publications

(42 citation statements)

References 15 publications

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“…Are those in which along with cyst excision, the pericystic and a major or minor fragment of surrounding hepatic parenchyma is performed . They require certain experience on the part of the surgical team, but their results in terms of POM are superior to those reported with the application of conservative surgical techniques (evidence type 2b, 3a) …”

Section: Resultsmentioning

confidence: 99%

“…A total of 301 records were recovered, 47 of which fulfilled the selection criteria: three SR, 14,16,17 three CT, [18][19][20] five cohorts studies, 5,21-24 24 case series 4,6,10,11,21,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43] and 12 not classifiable OS. 7,8,13,26,[44][45][46][47][48][49][50][51] The studies had a level of evidence of 1b, 2a, 2b, 3a and 4 of prognostic and therapy scenarios.…”

Section: Resultsmentioning

confidence: 99%

“…51 They require certain experience on the part of the surgical team, but their results in terms of POM are superior to those reported with the application of conservative surgical techniques (evidence type 2b, 3a). 13,14,18,51 Total pericystectomy. Described by Bourgeon in 1961, total pericystectomy is also referred to as 'cystopericystectomy'.…”

Section: Radical Proceduresmentioning

confidence: 96%

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Surgical strategies in the treatment of liver hydatid cyst

Manterola

Otzen

2017

Surgical Practice

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Aim Hydatidosis is an endemic zoonosis that is prevalent in South America, specifically in Chile, Argentina and Uruguay. Liver hydatidosis (LH) is associated with morbidity and mortality due to evolutionary complications, as well as the risk of complications related to surgical procedures. The surgical treatment of LH can be divided into four phases: isolation of the surgical area, evacuation of the cyst, treatment of the complications of the cyst and treatment of the residual cavity. LH surgical procedures can be classified as conservative and radical. The aim of the present study was to present a general, evidence‐based overview of some surgical aspects of interest in the treatment of LH. Patients and Methods An overview was conducted. Articles published between 1990 and 2015 and related to results of surgery in patients with LH were evaluated. PubMed, Web of Science, SciELO and Trip Database were reviewed, and the results of surgery in LH patients were evaluated. Results A total of 301 articles were retrieved, 46 of which met the selection criteria (3 systematic reviews, 2 controlled trials, 5 cohorts studies, 12 observational studies and 24 case series). The studies had a level of evidence of 1b, 2a, 2b, 3a and 4 of prognostic and therapy scenarios. Conclusions The articles found were few and heterogeneous, making meaningful conclusions difficult. Studies with better levels of evidence, methodological quality and population size are needed to make conclusions and recommendations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Radical Proceduresmentioning

confidence: 96%

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Surgical strategies in the treatment of liver hydatid cyst

Manterola

Otzen

2017

Surgical Practice

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“…Total pericystectomy and hepatectomy are considered as the most demanding radical procedures. Conservative methods include partial cystectomy with external drainage, omentoplasty and capitonnage (approximating sutures), are easier to perform and were popular surgical options in the past decades [10]. Whenever possible, complete resection should be the prime choice even though technical difficulties, required expertise and need for advanced instrumentation make the procedure less attractive.…”

Section: Discussionmentioning

confidence: 99%

“…Whenever possible, complete resection should be the prime choice even though technical difficulties, required expertise and need for advanced instrumentation make the procedure less attractive. Radical surgical procedures are better tolerated by the patients and provide better results in terms of long-term recurrence rates [10]. It has been proposed that subadventitial cystectomy should be considered as the standard surgical treatment, since it allows complete restoration of the operated liver [11] and should be performed in centres with accumulated experience in hepato-pancreato-biliary surgery.…”

Section: Discussionmentioning

confidence: 99%

Huge echinococcal cyst of the liver managed by hepatectomy: Report of two cases

Pavlidis

Symeonidis

Psarras

et al. 2017

International Journal of Surgery Case Reports

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HighlightsEchinococcocal cysts are predominantly located in the right liver. They are usually solitary and asymptomatic, but large cysts can cause compression symptoms. Surgeons in endemic countries usually select conservative approaches because they are relatively easy to perform and have lower morbidity rates. Resection is technically demanding, especially in cases in which cysts are of considerable dimensions like our two reports.We report two cases of huge (25 cm and 20 cm in diameter, respectively) echinococcal cysts located in the left liver, which presented as a large palpable mass causing compression symptoms. Diagnosis was established with CT scan showing a cystic mass with the characteristic daughter cysts and reactive layer (pericystic wall) consisting of fibrous connective tissue and calcifications. Both patients were treated radically with left hepatectomy and had uneventful postoperative course and no recurrence upon follow-up.The treatment of liver echinococcal cysts represent a unique surgical challenge. Even though conservative approaches are less technically demanding, the radical approach with resection has better outcome with less recurrences, when performed by experienced surgeons. Resection rather than drainage is the management of choice for such huge liver echinococcal cysts.

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Radical versus conservative surgical management for liver hydatid cysts: A single‐center prospective cohort study

et al. 2021

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Background and Aim We prospectively compared the clinical outcomes of radical and conservative surgical procedures for primary liver hydatid cysts, additionally radical surgical procedures with and without the two‐month administration of albendazole after the operation were compared. Methods Overall, 90 patients undergoing open surgical treatment for liver hydatid cysts were divided into three surgical groups: first group, patients who underwent radical surgery (pericystectomy) followed by albendazole treatment for 2 months following the operation group; second group, patients who underwent radical surgery(pericystectomy) without receiving albendazole after surgery group; third group, patients, who underwent conservative surgery (partial cystectomy) with albendazole treatment after surgery. The clinical outcomes and rate of recurrence were analyzed in follow‐up period. Results The mean surgery duration in the Radical groups was significantly longer in comparison to the Conservative surgery + Albendazole group. (212.0 and 202.5 min vs. 173.2 min; p < 0.05). Blood loss in the Radical groups was significantly higher in comparison to the Conservative surgery + Albendazole group (218.3 and 174.6 ml vs. 67.2 ml; p < 0.05). However, postoperative complication rate in the Radical group was significantly lower in comparison to Conservative surgery + Albendazole group (13.3% [n = 4] and 6.7% [n = 2] vs. 36% [n = 11]; p < 0.05). The postoperative hospital stay in both Radical groups was significantly lower in comparison to the Conservative surgery + Albendazole group (7.9 and 7.4 days vs. 11.3 days; p < 0.05). Conclusion In comparison to conservative surgery, radical surgery is a preferable treatment modality for patients with active liver hydatid cysts. Postoperative albendazole treatment is preferable, regardless of the type of surgical procedure.

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Surgical management of hydatid liver disease

Abstract: radical surgical procedures were better tolerated by patients and yielded better results in terms of recurrence rates.

Cited by 44 publications

References 15 publications

Surgical strategies in the treatment of liver hydatid cyst

Surgical strategies in the treatment of liver hydatid cyst

Huge echinococcal cyst of the liver managed by hepatectomy: Report of two cases

Radical versus conservative surgical management for liver hydatid cysts: A single‐center prospective cohort study

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