Traitement chirurgical caelioassisté du kyste hydatique du foie

Surgical management of liver hydatidosis: a multicentre series of 1412 patients

“…Until recently, surgical treatment has been the only radical and effective management of HLD (4), including conservative or radical procedures (18, 19). However, conventional surgery is now challenged by recent innovative and minimally invasive procedures, such as the nonsurgical PAIR approach (20), the new surgical laparoscopic approach (21, 22) In the present series, the laparoscopic approach provided excellent results in a recent highly selective group of patients.…”

“…Contraindications to PAIR include pre‐operative suspicion of biliary complications and satellite exophytic cysts on pre‐operative CT (28). The laparoscopic approach is the most recent surgical innovation in the management of HLD (21, 22, 29). There is no doubt that early diagnosis by screening high‐risk populations will increase the number of early forms of HLD treatable by PAIR or laparoscopic surgery (20, 29, 30).…”

Radical versus conservative surgical treatment of liver hydatid cysts

“…The conservative approach aims to unroof the cyst after evacuating its contents combined with one of various procedures to manage the residual cavity. In most recent publications, comparisons between radical and conservative techniques have been controversial. With a limited number of randomized studies available, authors have defended their preferred therapeutic option based on small comparative retrospective series, with non‐matched groups.…”