Comparison of seldinger and trocar techniques in the percutaneous treatment of hydatid cysts

Turan, Hilal Gülsüm; Özdemir, Mustafa; Acu, Ruşen; Küçükay, Fahrettin; Özdemir, Fatma; Hekįmoğlu, Baki; Yildirim, Utku Mahir

doi:10.4329/wjr.v9.i11.405

Cited by 9 publications

(9 citation statements)

References 29 publications

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“…Most patients received one drainage per intervention. The trocar technique as a single-step procedure is easier and more economical to apply compared with the drainage procedure conducted using Seldinger techniques and was more frequently used in our patients [ 22 ]. As the postoperative fluid collections were mostly superficial, direct access (67.5%) was more frequently used than transhepatic (32.0%) or transpleural access (0.5%), respectively.…”

Section: Discussionmentioning

confidence: 99%

CT-Guided Drainage of Fluid Collections Following Liver Resection: Technical and Clinical Outcome of 143 Patients during a 14-Year Period

et al. 2021

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Purpose: To retrospectively evaluate the technical and clinical outcome of patients with symptomatic postoperative fluid collections following liver resection treated with CT-guided drainage (CTD). Methods: 143 suitable patients were examined between 2004 and 2017. Technical success was defined as (a) sufficient drainage of the fluid collection and (b) the non-occurrence of peri-interventional complications requiring surgical treatment with minor or prolonged hospitalization. Clinical success was defined as (a) decreasing or normalization of specific blood parameters within 30 days after intervention and (b) no surgical revision in addition to intervention required. C-reactive protein (CRP), leukocytes and Total Serum Bilirubin (TSB) were assessed. Dose length product (DLP) for the intervention parts was determined. Results: Technical success was achieved in 99.5% of 189 performed interventions. Clinical success was reached in 74% for CRP, in 86.7% for Leukocytes and in 62.1% for TSB. The median of successful decrease was 6.0 days for CRP, 3.5 days for Leukocytes and 5.5 days for TSB. In 90.2%, no surgical revision was necessary. Total DLP was significantly lower in the second half of the observation period (median 536.0 mGy*cm between years 2011 and 2017 vs. median 745.5 mGy*cm between years 2004 and 2010). Conclusions: Technical success rate of CTD was very high, and clinical success rate was fair to good. Reduction of the radiation dose reflects developments of CT technology and increased experience of the interventional radiologists.

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Section: Discussionmentioning

confidence: 99%

CT-Guided Drainage of Fluid Collections Following Liver Resection: Technical and Clinical Outcome of 143 Patients during a 14-Year Period

et al. 2021

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“…Turan et al conducted a study comparing two percutaneous techniques and found a complication rate of 6.1% in the trocar technique and 17.9% in the Seldinger technique. There was no significant difference between the two techniques in terms of complications and recurrence 22 . We found it more accurate to compare the two techniques by including all complications during and after percutaneous treatment and in the long term.…”

Section: Discussionmentioning

confidence: 73%

CE1 ve CE3a karaciğer kist hidatiklerinin perkütan tedavisinde modifiye Seldinger ve trokar yöntemlerinin karşılaştırılması

Turgut

Baran

2020

Cukurova Medical Journal

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Öz Purpose: The aim of this study was to compare the longterm results of the trocar and modified Seldinger techniques used in the percutaneous treatment of type CE1 and CE3a hepatic hydatid cysts. Materials and Methods: The data of the patients with CE1 and CE3a hydatid cysts, treated by the catheterization technique between January 2015 and June 2019 were reviewed retrospectively. Cyst type, cyst size and localization, treatment method applied, duration of catheterization and length of hospital stay were recorded. Follow-up period, cyst size at the last follow-up, and inactivation time were listed using the follow-up ultrasound reports. All of these variables were listed separately in the modified Seldinger and trocar techniques and compared statistically. Results: The data of 126 CE1 and CE3a patients were included in the study. The modified Seldinger technique was used in 36 patients, and the trocar technique was used in 90 patients. The mean follow-up period was 1185.36 ± 426.02 days. The efficacy of the treatment was at the rate of 97.2% in the modified Seldinger technique and 97.7% in the trocar technique. In total, recurrence was seen in 2.3% of the patients. The duration of catheterization and length of hospital stay were found to be significantly lower in the trocar technique compared to the modified Seldinger technique. The inactivation process was faster in the modified Seldinger technique. Conclusion: Both the modified Seldinger and trocar techniques are effective treatment modalities that can be used safely in the treatment of CE1 and CE3a hepatic hydatid cysts. Amaç: Bu çalışmanın amacı, CE1 ve CE3a tipleri karaciğer kist hidatiklerinin perkütan tedavisinde kullanılan trokar ve modifiye Seldinger yöntemlerinin uzun dönem sonuçlarının karşılaştırılması oldu. Gereç ve Yöntem: Ocak 2015 ve Haziran 2019 tarihleri arasında kateterizasyon yöntemi ile tedavi edilmiş olan, CE1 ve CE3a kist hidatik hastalarının verileri geriye dönük olarak tarandı. Kist tipi, kist boyutu, lokalizasyonu, uygulanan tedavi yöntemi, kateterizasyon süresi, hastanede yatış süresi verileri kayıt edildi. Takip ultrasonografi raporları değerlendirilerek takip süresi, kistin son kontroldeki boyutu, inaktivasyon süresi listelendi. Bu değişkenlerin tamamı modifiye Seldinger ve trokar yöntemlerinde ayrı ayrı listelendi ve istatistiksel olarak karşılaştırıldı. Bulgular: Toplamda 126 CE1 ve CE3a hastanın verileri çalışmaya dahil edildi. Tedavide 36 hastada modifiye Seldinger yöntemi, 90 hastada trokar yöntemi uygulandı. Ortalama takip süresi 1185.36 ±426.02 gün oldu. Tedavi etkinliği modifiye Seldinger yönteminde %97.2, trokar yönteminde %97.7 oldu. Toplamda hastaların %2.3'ünde nüks görüldü. Modifiye Seldinger yöntemine kıyasla trokar yönteminde kateterizasyon ve hastanede yatış süresi anlamlı olarak düşük bulundu. Modifiye Seldinger yönteminde inaktivasyon süreci daha hızlı olmuştur. Sonuç: Modifiye Seldinger ve trokar yöntemlerinin her ikiside CE1 ve CE3a karaciğer kist hidatik tedavisinde güvenle kullanılabilicek etkin tedavi yöntemler...

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“…There were no differences among that techniques. 20 To our best knowledge, the present study is the largest case series for the percutaneous treatment of hydatic cyst in a single center.…”

Section: Discussionmentioning

confidence: 81%

“…Developing cavity infection or abscess were reported to be between 5.6%-26.9% in the literature. [18][19][20][21][22][23] There are several advantages of the Ormeci technique over the PAIR(18) (Table 4). We did not have any patients who had abscess or infection in the cyst cavity.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous treatment with the ormeci technique of cystic echinococcosis: experience of single center

Örmeci¹,

Asiller²,

Cardoso³

et al. 2020

GHOA

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Background: Hydatid disease is caused by the larval stage of Echinococcus Granulosis which is an important public health and economic problem. The treatment of hydatid cyst is not optimal yet.Objective: We want to show the Ormeci technique is the one of the best treatment options of hydatid cyst. Materials and methods:Five hundred thirty-seven patients with seven hundred and sixteen hydatid cysts had been treated by percutaneous way using the Ormeci technique since 1991. The percutaneous puncture was performed under sonographic guidance using a 22-gauge Chiba needle as a one-step procedure in CE type 1 and 3A. However, two to six Chiba needles were used in different locations at the same time in CE type 2b, 2c and 3B cysts. The mean follow-up time was 51.24±62.99 (minimum 3.00, maximum 340.00) months. Results:This technique increased the cure rate of CE type 2 and 3B hydatid cysts up to 91.7% without recurrences. The success rate for all types of cysts treated was 95% without mortality. The technique had less morbidity (8.86%) without fistula and abscess. Conclusion:Ormeci technique can be safely and successfully used for the treatment of all kinds of active hydatid cysts.

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Comparison of seldinger and trocar techniques in the percutaneous treatment of hydatid cysts

Cited by 9 publications

References 29 publications

CT-Guided Drainage of Fluid Collections Following Liver Resection: Technical and Clinical Outcome of 143 Patients during a 14-Year Period

CT-Guided Drainage of Fluid Collections Following Liver Resection: Technical and Clinical Outcome of 143 Patients during a 14-Year Period

CE1 ve CE3a karaciğer kist hidatiklerinin perkütan tedavisinde modifiye Seldinger ve trokar yöntemlerinin karşılaştırılması

Percutaneous treatment with the ormeci technique of cystic echinococcosis: experience of single center

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