Surgical Treatment of Hydatid Disease of the Liver

Sayek, İskender

doi:10.1001/archsurg.1980.01380070035007

Cited by 197 publications

(176 citation statements)

References 8 publications

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“…All data were statistically analyzed using Statistical Package for the Social Sciences (SPSS) version 16 …”

Section: Discussionmentioning

confidence: 99%

“…All of the fl uid in the cyst was aspirated, except for enough fl uid to allow visibility of the needle tip, and tested using a dipstick test (Multistix SG; Bayer Diagnostics) for the presence of bile salts and pigments to rule out biliary communication (15) . Combined surgical procedure: the PAIR technique was performed followed by de-roofi ng and evacuation of the cysts, as indicated in Figure 1, with modifi cation (16) . With the patient in the supine position and under general anesthesia, an incision was made on the abdomen at the right sub-costal; this incision was either simple or extended to the double sub-costal or upper midline.…”

Section: Surgical Proceduresmentioning

confidence: 99%

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Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis

Abdelraouf

El-Aal

Shoeib

et al. 2015

Rev. Soc. Bras. Med. Trop.

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Introduction: Hydatidosis is the result of infection with the larval stages of some species of the genus Echinococcus. Treatment approaches for hydatid cysts include the use of albendazole, surgery, and/or medico-surgical procedures. The choice of the therapeutic surgical approach depends on the cyst number and localization, surgeon expertise, and presence of complications. The present study aimed to compare the outcomes of the following therapeutic approaches for the treatment of hepatic hydatid cysts: pericystectomy; the puncture, aspiration, injection, and reaspiration (PAIR) technique; and the PAIR technique followed by deroofi ng, evacuation of cysts, and omentoplasty. Methods: The 54 patients were divided into 3 groups: Group I (14 patients) who underwent pericystectomy, Group II (23 patients) who underwent the PAIR technique, and Group III (17 patients) who underwent the PAIR technique followed by deroofi ng and omentoplasty. The diagnosis of hydatid cysts was based on serological testing using enzyme-linked immunosorbent assay, abdominal ultrasound, and parasitological examination of the cyst contents. Morbidity, mortality, length of hospital stay, recurrence, and postoperative complications were evaluated. Results: Postoperative bleeding, infection, and recurrence were reported in Groups I and II; Group III did not experience postoperative infection and had shorter hospital stays. Recurrence and postoperative complications did not occur in Group III. Conclusions: The partial surgical procedure with deroofi ng, evacuation of the cysts, and omentoplasty, as performed in the present study, is recommended as a safe and effective method for elimination of the entire parasite with minimal possibility for intra-peritoneal spillage.

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“…All data were statistically analyzed using Statistical Package for the Social Sciences (SPSS) version 16 …”

Section: Discussionmentioning

confidence: 99%

Section: Surgical Proceduresmentioning

confidence: 99%

Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis

Abdelraouf

El-Aal

Shoeib

et al. 2015

Rev. Soc. Bras. Med. Trop.

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show abstract

“…The patient could not be diagnosed since it was not possible to obtain a chest x-ray as a result of unavailability of the x-ray device and failure to have a consultation from another hospital. Surgery is the preferred treatment method for the cure for the hydatid disease (3,9,11). Rupture of the cyst is usually related to increased intracystic pressure (8).…”

Section: Discussionmentioning

confidence: 99%

Fatal Undiagnosed Pulmonary Hydatid Cyst: A Case Report

Kır¹,

Ilingi²,

Karabağ³

2013

Adli Tip Derg

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“…These communications have been reported in 42 to 50% of cysts operated upon [12,13]. Infection and intrabiliary rupture of the cyst are the most common complications [14] . Jaundice which occurs in 10% to 15% of patients, is more commonly due to obstruction of the bile ducts by daughter cysts, rather than external pressure [15].…”

Section: Cyst-biliary Communications and Exogenous Daughter Cystsmentioning

confidence: 95%

“…Recently, Novo et al have compared their results of conservative and radical surgery on 113 patients and conclude that the best results of surgery are obtained with an aggressive approach [12], The recurrence rate following "radical"surgery is also much lower (2%) than after conservative procedures (16%) [5], but the statistical significance of these figures requires to be confirmed by prospective randomized trials. However, most workers are still of the opinion that the use of operative ultrasound to detect exogenous daughter cysts [16], helps avoid a potentially hazardous dissection and that a meticulous search and closure of bile leaks supplemented by omentoplasty continues to be as good, safe and just as successful as cystopericystectomy [3,13,14,29].…”

Section: Controversies In Surgical Strategymentioning

confidence: 99%