The surgical treatment of hydatid disease of the liver

Abstract

A consecutive series of 227 patients with hydatid disease of the liver is reported. During the first period when marsupialization or drainage of the cyst was applied, long hospitalization and bilious leakage were reported. During the second period omentoplasty superseded the above methods. As a result, hospitalization was lowered from 36 or 52 to 12 days, while the incidence of biliary leakage was minimized from 25.2 or 60.7 per cent to 2.5 per cent respectively. The overall mortality is about 3.5 per cent. Consequently omentoplasty is considered the treatment of choice when dealing with hydatid cyst of the liver. Marsupialization or partial hepatectomy is the alternative for huge, infected cysts. ECHINOCOCCOSIS is a well‐known disease, but its surgical treatment has markedly changed during the past years. The word ‘echinococcus’ is Greek in origin and means ‘hedgehog berry’. Hydatid disease of the liver was known to Hippocrates, who refers to a ‘liver full of water’. It was not until 1782 that Goeze recognized microscopically the small taenias with their characteristic hooklets. Since then numerous reports have made absolutely clear both the pathology and epidemiology of the disease. In Greece, with a population of up to 8 million, an average of 500 cases yearly are reported, i.e., a frequency of 6 per 100,000 inhabitants (Toole, 1969).

The Spectrum of Hydatid Disease in North Telangana: A Study of 17 Cases

“…15 Even in the liver, it has been suggested that 85% of the cysts occurred in the right lobe and 15% in the left lobe. 6 Most of the authors 7 have reported maximal involvement of the liver, with the lung being the second most common site, a trend that has been duly reflected in our study.…”

“…Papadimitriou et al 6 reported 25.55% patients in the age group of 21-30 years and 24.67% patients in the age group of 31-40 years. Mehta et al 7 reported 27.08% in the second and third decade and 18.75% in the fourth decade.…”

Surgical Treatment of the Lung Hydatid Cysts; Analysis of the 73 Patients

“…Küçük kistler, enükleasyon ile çıkarılabilirken büyük çap-lı kistlerde rüptür riski fazla olduğundan dolayı tercih edilen bir yöntem değildir [14]. Bunun yerine özellikle yayılımı önlemek ve kist içindeki basıncı azaltmak için ince iğne aspirasyonu ile kist içeriğinin bosaltılması önerilmektedir [15]. Kistotomi sonrası rezidüel kavitenin kapitonaj ile obliterasyonunda farklı uygulamalar söz konusu olmakla birlikte genel yaklasım kapitonajın yapıl-ması yönündedir [2][3].…”

Hydatid Disease of The Liver in Riyadh

“…3,4 In an earlier series reported from Saudi Arabia, hydatid disease accounted for 5% of all major surgical operations. 5 The highest incidence has been reported from the southwestern region of the Kingdom.…”