Distribution of hydatid cysts into the liver with reference to cystobiliary communications and cavity-related complications

Kayaalp, Cüneyt; Bostancı, Birol; Yol, Sinan; Akoğlu, Musa

doi:10.1016/s0002-9610(02)01202-3

Cited by 75 publications

(103 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It's very well known the tendency of fistulisation of the biliary ducts within the cyst. It is demonstrated that the presence of a significant biliary fistula is related to the diameter of the cyst [23] and to their position close to the hepatic hylum [19]. It means that the presence of a fistula is linked with the probability that the cyst find, in the growth process, a large bile duct.…”

Section: Discussionmentioning

confidence: 98%

Untitled

2017

JLRDT

View full text Add to dashboard Cite

Introduction: Liver echinococcosis is still an endemic disease in Balkans. PAIR is actually considered the safest therapeutically approach for uncomplicated type I and II cysts, while surgery is indicated for type III or complicated cysts. It's commonly believed that radical surgery could be considered the most appropriate treatment for hydrated disease, but with higher risk of morbidity, much more for centrally located cysts, especially in low-resources hospitals.Aim of the study: According with the tendency in western countries and within a training project leaded by Veneto Region -Italy, we started in cooperation with the Division of Surgery of Peja Hospital Kosovo a prospective study to assess the safety and effectiveness of radical surgery also for centrally located cysts, when PAIR was contraindicated. Materials and Methods:From Feb 2006 to Apr 2010, 10 consecutive patients (6 Female, 4 males, mean age 31, 3± 14 yrs, range 8-54) with 16 cysts were treated for echinococcal liver disease in Surgical Division of Peja Hospital, Kosovo. All patients received Albendazole before operation and in the perioperative period. Medical therapy was discontinued the day after operation. One patient had recurrent echinococcal cysts after previous operation of partial cystectomy and T-tube placement in the biliary duct. Patients were classified to have peripherical (n=1) or centrally (n=9) located cysts when at least one of them was in close relationship with the main vascular and biliary structures. Other than laboratory tests, preoperative evaluation included in all patients abdominal ultrasound and CT scan.Results: Nine pts with 15 cysts underwent radical surgery and 1 patient underwent non radical operation (1 subtotal pericystectomy). Four of them had multiple cysts. Mean operative time was 236 min. Mean postoperative stay was 5, 2± 2, 52 days (range 3-10). No intra or postoperative complications were observed after radical surgery. A bile leak that healed spontaneously after 9 days occurred in patient with subtotal pericystectomy. Mean follow-up is longer than 3 years. Discussion: Therapeutic choices for echinococcal liver disease depend from factors related to patient, cyst, availability of resources and physician. Radical surgery is considered the treatment of choice because of complete elimination of the parasite and the residual cavity, minimizing the risk of recurrence. This approach, especially for central cysts, must be balanced with the risk of complications, but it's the preferred one in Centers with expertise in liver surgery and it was possible in 93% of cases in this series. In our experience mean operative time was prolonged because of meticulous dissections of cysts from surrounding tissue and vessels. It was always possible to dissect the main veins from pericystium, while portal triad structures were more often eroded by the cysts and needed to be sutured. Mean follow-up is more than 3 years and no recurrences were observed until now. Conclusion:Open radical surgery can be considered a reliable...

show abstract

Section: Discussionmentioning

confidence: 98%

Untitled

2017

JLRDT

View full text Add to dashboard Cite

show abstract

“…Biliary fistulas are the most common morbidity following hydatid liver surgery with an incidence of 13%-37% (20,(21)(22)(23)(24)(25). It is defined as any drain output consistent with a biliary appearance with a high bilirubin count.…”

Section: Discussionmentioning

confidence: 99%

Management of Giant Hydatid Liver Disease: A Case Report and Review of Literature

2017

ARC Journal of Pediatrics

View full text Add to dashboard Cite

“…24,25 Failure to obliterate a large residual cavity and inability to achieve hemostasis and biliostasis after radical surgery can result in such complications. 26 Biliary fistulas, in earlier days, were managed by keeping abdominal drain for long duration, till a tract was formed and slowly withdrawing it. After the availability of endoscopy, biliary drainage was managed with endoscopic sphincterotomy.…”

Section: Discussionmentioning

confidence: 99%

Hydatid Cyst in the Past and the Present

Kamble¹,

Kamble²,

Thawait³

et al. 2014

jemds

View full text Add to dashboard Cite

BACKGROUND:Hydatid cyst is a parasitic infection that is widely endemic in India. It is a zoonotic disease with man being an accidental dead end host. Despite its world-wide affection, its diagnosis still remains a matter of challenge due to lack of an authentic gold standard for its early detection. In such cases, clinical judgment and high index of suspicion, in an endemic area is a worthy tool. AIMS AND OBJECTIVES: The study was undertaken to highlight important clinical features of hydatid cyst to help early diagnosis and management, the rare presentations of hydatid cysts in an endemic belt of Maharashtra along with their management and the shift that had occurred from past to present in hydatid cyst management along with future implications. MATERIALS AND METHODS:The hydatid cyst pattern (etiology, symptomatology, diagnosis and treatment) was retrospectively analyzed in operated hospitalized patients at three hospitals, GMC, Nagpur, VNGMC, Veotmal and MGIMS, Sewagram from 1975 to 2010 at different cross-sections of time. RESULTS: A total of 560 patients, 289 males and 271 females, who were diagnosed and operated for hydatid cyst, were evaluated. The mean age of presentation was 39.8 years with 61.9% rural population. Abdominal pain was most common compliant among symptomatic group (88.5%). Liver was most commonly involved (56.9%) followed by lung (32.7%). The most common radiological method to diagnose the disease was ultrasonography, with 91.4% accuracy, followed by CT scan. Multiple organ involvement was seen in 11.1% cases. The recurrence rate was 3.7%. There was no mortality and no serious postoperative complication other than bile leak (8.4%) and pus discharge (4.1%) from drain. Preoperative Albendazole followed by surgery and postoperative albendazole had a definite role in preventing recurrence. The mean hospital stay was 10.8 + 2.67 (3-35) days. CONCLUSION: A sound knowledge of various modes of presentation of hydatid disease, combined with clinical judgment, high suspicion in endemic areas and confirmation by newer diagnostic modalities like USG and CT is required for early diagnosis and treatment and prevent complications.

show abstract

Distribution of hydatid cysts into the liver with reference to cystobiliary communications and cavity-related complications

Cited by 75 publications

References 19 publications

Untitled

Untitled

Management of Giant Hydatid Liver Disease: A Case Report and Review of Literature

Hydatid Cyst in the Past and the Present

Contact Info

Product

Resources

About