Hepatic cystic echinococcosis: Percutaneous treatment as an outpatient procedure

Köroğlu, Mert; Erol, Bekir; Gürses, Cemil; Türkbey, Barış; Baş, Cem Yunus; Alparslan, Ahmet Şükrü; Köroğlu, Banu Kale; Toslak, İclal Erdem; Çekiç, Bülent; Akhan, Okan

doi:10.1016/s1995-7645(14)60023-7

Cited by 22 publications

(28 citation statements)

References 13 publications

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“…However, it has some disadvantages such as the difficulty of keeping the tip of the needle steady within the cavity of the cysts that are located in regions hard to reach such as the dome of the liver, or clogging of the needle tip by membranes during the PAIR steps. Catheterization by Seldinger technique is a more controlled and comfortable method than the PAIR procedure (15). Our method may be superior to catheterization by Seldinger technique (via Seldinger needle, stiff wire, dilator, catheter) owing to its easier application and lower cost.…”

Section: Discussionmentioning

confidence: 89%

“…Laparoscopic surgery of the hydatid cyst, which requires a shorter hospitalization than laparotomy, became popular in recent years and the length of hospitalization for this method was reported as 4.7 days (range, 2-8 days) in a meta-analysis (19). The mean length of hospital stay in the literature for percutaneous treatment of the hydatid cyst is 2.4 days (range, 1.6-4.2 days); however, outpatient percutaneous treatment has also been reported (12,15). In our study, the mean length of hospitalization was 1.6 days (range, 1-17 days), consistent with the previous literature.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

Nayman

Güler²,

Keskin³

et al. 2015

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

Nayman

Güler²,

Keskin³

et al. 2015

Diagn Interv Radiol

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“…7 The PAIR is safe and effective outpatient treatment modality in selected cases, usually with deep seated small single cyst. [15][16][17] and laparoscopic management are other good option, increasingly becoming popular as a safe and effective modality. [18][19][20][21][22] In all cases of surgical management, care must be taken not to spill the cyst fluid to prevent anaphylaxis, and use of appropriate scolicidal agent is important to deactivate the live scolices to prevent the dissemination of disease.…”

Section: Discussionmentioning

confidence: 99%

Clinical profile and surgical outcome of abdominal hydatid cyst at a university hospital in Nepal

Maharjan

Paudyal

Shah

et al. 2018

J Patan Acad Health Sci

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Introductions: Hydatid cyst is caused by the tapeworm. It is common in sheep and cattle rearing communities. Liver is the most common affected organ. There are various methods of surgical approaches for hydatid cyst. Methods: This was a retrospective descriptive study of patients operated for intra-abdominal hydatid cysts from July 2012 to June 2018 at Patan Hospital, Patan Academy of Health Sciences, Nepal. Ethical approval from institutional review committee was obtained. Patient files with incomplete data were excluded. Variables analyzed were, age, gender, site and numbers of cyst, methods of surgery, complications and mortality. Data were descriptively analyzed. Results: There were 19 patients of abdominal hydatid cysts who underwent surgery during the study period. Five records files could not be accessed and were excluded. In remaining 14, male were 6 (42.85%), female 8 (57.15%), mean age 39.57±17.35 years (14-70), cyst size 11±4.22 cm (5-21), complain of abdominal pain in 10 (71%). Open surgery for liver cyst was done in 11 and laparoscopic in one, and open splenectomy for two splenic cysts. One patient developed superficial wound infection. Four had cystobiliary communication of which one underwent ERCP. Post ERCP patient developed acute severe pancreatitis and expired.Mean hospital was 8.57±2.24 days (6-14). Conclusions: Liver was the main organ involved, abdominal pain and lump were main presenting complaints. Surgery had successful outcome. Open surgery was the mainstay of treatment.

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“…This frequency is not higher than that observed for drug-related anaphylactic reactions. Although technically applicable as an outpatient procedure [ 49 ], PAIR needs to be performed in the presence of resuscitation equipment; albendazole peri-interventional treatment is also mandatory [ 4 , 93 ]. This does not prevent the procedure from being used in endemic areas without sophisticated hospital settings.…”

Section: Non-surgical Drainage Techniquesmentioning

confidence: 99%

Non-surgical and non-chemical attempts to treat echinococcosis: do they work?

et al. 2014

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Cystic echinococcosis (CE) and alveolar echinococcosis (AE) are chronic, complex and neglected diseases. Their treatment depends on a number of factors related to the lesion, setting and patient. We performed a literature review of curative or palliative non-surgical, non-chemical interventions in CE and AE. In CE, some of these techniques, like radiofrequency thermal ablation (RFA), were shelved after initial attempts, while others, such as High-Intensity Focused Ultrasound, appear promising but are still in a pre-clinical phase. In AE, RFA has never been tested, however, radiotherapy or heavy-ion therapies have been attempted in experimental models. Still, application to humans is questionable. In CE, although prospective clinical studies are still lacking, therapeutic, non-surgical drainage techniques, such as PAIR (puncture, aspiration, injection, re-aspiration) and its derivatives, are now considered a useful option in selected cases. Finally, palliative, non-surgical drainage techniques such as US- or CT-guided percutaneous biliary drainage, centro-parasitic abscesses drainage, or vascular stenting were performed successfully. Recently, endoscopic retrograde cholangiopancreatography (ERCP)-associated techniques have become increasingly used to manage biliary fistulas in CE and biliary obstructions in AE. Development of pre-clinical animal models would allow testing for AE techniques developed for other indications, e.g. cancer. Prospective trials are required to determine the best use of PAIR, and associated procedures, and the indications and techniques of palliative drainage.

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Hepatic cystic echinococcosis: Percutaneous treatment as an outpatient procedure

Cited by 22 publications

References 13 publications

A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

Clinical profile and surgical outcome of abdominal hydatid cyst at a university hospital in Nepal

Non-surgical and non-chemical attempts to treat echinococcosis: do they work?

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