Is Radical Surgery Feasible in Liver Hydatid Cysts in Contact with the Inferior Vena Cava?

Ramia, José Manuel; Serrablo, Alejandro; Plaza, Roberto de la; Esarte, Jesús María; Gijón, Luis; Sarria, L.; Figueras, Joan; García-Parreño, Jorge

doi:10.1007/s00268-014-2658-0

Cited by 12 publications

(6 citation statements)

References 20 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Still unresolved, however, are the indications for laparoscopy, which could depend on the size of the hydatid cyst. Some authors suggest that laparoscopic treatment is appropriate only for HCLs with a maximum diameter of ≤5 cm [6, 15, 16]. In one article [17], the authors defined clear criteria for laparoscopic manipulation.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Studies have stated that especially lesions close to the inferior vena cava constitute a partial contraindication. Particular attention should be paid to segment VIII, IV, and I lesions, lesions close to hepatic veins and right atrium (78).…”

Section: Radical Surgerymentioning

confidence: 99%

Turkish HPB Surgery Association consensus report on hepatic cystic Echinococcosis (HCE)

et al. 2022

View full text Add to dashboard Cite

Objective: Cystic Echinococcosis (CE) is one of the important problems of the Eurasian region. We aimed to prepare a consensus report in order to update the treatment approaches of this disease. This study was conducted by Turkish HPB Surgery Association. Material and Methods: This study was conducted with the modified Delphi model. For this purpose, we conducted a three-stage consensus-building approach. Results: Six topics, including diagnosis, medical treatment, percutaneous treatment, surgical treatment, management of complications and posttreatment follow-up and recurrences in HCE were discussed. Conclusion: The expert panel made recommendations for every topic.

show abstract

“…It is caused by larvae of the genus Echinococcus , and is endemic in certain areas of the planet[1]. The liver is the most common location for cyst development[2].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous drainage as a first therapeutic step prior to surgery in liver hydatid cyst abscess: Is it worth it?

Lopez-Marcano

Ramia

Arteaga

et al. 2017

WJH

View full text Add to dashboard Cite

AIMTo delay surgery until the patient is in a better condition, and thus to decrease postoperative morbidity.METHODSUsing this algorithm we treated three patients aged 55, 75 and 80 years. In all three patients the clinical presentation was fever without a clear source of infection; all had nonspecific symptoms such as general malaise, dyspnea, and abdominal discomfort in the previous 15 d. They came to the emergency room at our hospital due to deterioration of their general condition. Analytical tests showed leukocytosis, neutrophilia and increased polymerase chain reaction. In all cases an abdominal computed tomography (CT) was performed and liver hydatid abscess (LHA) was detected. The mean size of the LHA was 12 cm.RESULTSAll patients underwent CT-guided percutaneous drainage. The purulent material obtained was cultured, and Klebsiella pneumoniae, Streptococcus viridans and Streptococcus salivarius were identified. Antibiotic treatment was given adapted to antibiotic sensitivity testing. Surgery was performed two weeks after admission, once the patient’s condition had improved. All three patients underwent an almost total cystectomy, cholecystectomy and omentoplasty in the residual cavity. Complications were: Clavien I (atelectasis and pleural effusion) and Clavien II (transfusion). The average length of stay (pre and postoperative) was 23 d. At the follow-up, no relapses were recorded.CONCLUSIONLHA management is not standardized. Emergency surgery offers suboptimal results. Percutaneous drainage plus antibiotics allows improving patient’s general condition. This enables treating patients in greater safety and also reduces complications.

show abstract

Is Radical Surgery Feasible in Liver Hydatid Cysts in Contact with the Inferior Vena Cava?

Cited by 12 publications

References 20 publications

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

Laparoscopic Treatment in Children with Hydatid Cyst of the Liver

Turkish HPB Surgery Association consensus report on hepatic cystic Echinococcosis (HCE)

Percutaneous drainage as a first therapeutic step prior to surgery in liver hydatid cyst abscess: Is it worth it?

Contact Info

Product

Resources

About