Laparoscopic Approach to Hepatic Hydatid Disease

Ertem, Metin; Uras, Cihan; Karahasanoğlu, Tayfun; Ergüney, Sabri; Alemdaroğlu, K

doi:10.1159/000018648

Cited by 44 publications

(48 citation statements)

References 10 publications

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“…ELISA, indirect immune florescence antibody test, immune electrophoresis and immune blast tests are other modalities. 5,6,7,8,9 Compared to imaging method, serological assay are less expensive and easier to perform. Serology has high sensitivity for liver, 80-100%, and a lesser sensitivity of lung cysts 55% and even lesser sensitivity in other organ involvement, 25-56%.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Hydatid Disease in Thigh

Singh¹,

Agrawal²,

Chandrakar³

et al. 2015

jemds

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We report a rare case of hydatid cyst in thigh in a 35 years old male patient who presented with swelling of size 8x9cm in right upper thigh since 12 years and pain in swelling since 1 month. Based on clinical features provisional diagnosis of Rhabdoomyosacroma / lipoma thigh / Neurofibroma was made -results of fine needle aspiration cytology were inconclusive. USG of lump showed an intramuscular well defined fusiform lesion (10x5x6.3cm) in postero-medial aspect of right thigh with multiple, variable sized cysts. Excision of lump was done which revealed well encapsulated, intramuscular soft and cystic swelling. On cut section, multiple typical shiny daughter cysts were seen. Histopathological examination confirmed it to be hydatid cyst of thigh.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Hydatid Disease in Thigh

Singh¹,

Agrawal²,

Chandrakar³

et al. 2015

jemds

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“…The treatment of choice is still total cystopericystectomy, which reduces the frequency of intraoperative anaphylactic reactions and relapses [5]. Laparoscopic partial cystectomy or PAIR lead to results similar to those of open surgical and percutaneous techniques: anaphylactic reactions in 3% of cases and relapse in 3-10% of patients after a follow-up of 17 or 18 months [4,11,24]. Manterola et al [21] published a series of eight cases of laparoscopic total cystopericystectomy, with anaphylactic reactions and relapse in none of the patients after a mean follow-up of 30 months.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic hepatic resection

et al. 2006

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“…Otros, corresponden a reporte de casos y series pequeñas 51,[55][56][57][58] . Estos procedimientos presentan el riesgo de diseminación hidatídica y de problemas derivados de la formación de cavidades residuales; de hecho, en la serie más numerosa 51 , el porcentaje de conversión fue del 27%, y la morbilidad relacionada con el procedimiento del 25%, hecho que puede haberse relacionado con una selección inadecuada de los pacientes.…”

Section: Tratamiento Laparoscópicounclassified

Aspectos clínico-quirúrgicos de la hidatidosis hepática, una zoonosis de creciente preocupación

2011

Rev Chil Cir

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Clinical and surgical aspects of hydatidosisHydatidosis is common in Southern Chile and it is usually located in the liver. The complications of surgical procedures for liver hydatidosis, which fl uctuate from 11 to 86%, are superposed to the own complications of the disease. The frequency of surgical complications is associated with evolutionary complications of the cysts, the need to perform additional procedures to treat the disease in other simultaneous locations and previous surgical interventions for the disease. Operative mortality is lower than 5%. The surgical treatment of hydatidosis is divided in four phases: isolation of the surgical zone, cyst evacuation, treatment of cyst complications and treatment of residual cavity. The conservative surgical procedures are marsupialization, cystostomy, Posadas intervention and cystojejunostomy. Surgical procedures involving resection are pericystectomy, subtotal cystectomy and liver resections. ResumenLa hidatidosis es una zoonosis endémica en el sur de Chile, por lo que tenemos la oportunidad de tratar un número importante de pacientes, especialmente hepática, localización más común de esta enfermedad. La hidatidosis hepática (HH) tiene morbilidad y mortalidad propia debido a sus complicaciones evolutivas, a lo que se agrega el riesgo de complicaciones asociados a los procedimientos quirúrgicos, cuya morbilidad se ha reportado entre 11% y 86%; la que se ha relacionado con intervenciones previas por HH, complicaciones evolutivas de los quistes, la necesidad de realizar procedimientos adicionales como el tratamiento de la enfermedad en otras localizaciones simultáneas. La mortalidad reportada es inferior al 5%. Sin embargo, tanto morbilidad como mortalidad persisten altas a pesar de los avances tecnológicos terapéuticos. El tratamiento quirúrgico de la HH se puede dividir en cuatro fases: aislamiento de la zona quirúrgica, evacuación del quiste, tratamiento de las complicaciones del quiste; y tratamiento de la cavidad residual. Por otro lado, la cirugía de la HH se puede clasifi car en procedimientos conservadores (marsupialización, quistostomía, operación de Posadas y quistoyeyunostomía) y resectivos (periquistectomía, quistectomía subtotal y resecciones hepáticas). Por último, cabe señalar el rol de la cirugía laparoscópica, que aún se encuentran en evaluación.Palabras clave: Equinococosis, hidatidosis, equinococosis hepática, hidatidosis hepática, quiste hidatídico hepático.

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Laparoscopic Approach to Hepatic Hydatid Disease

Cited by 44 publications

References 10 publications

A Rare Case of Hydatid Disease in Thigh

A Rare Case of Hydatid Disease in Thigh

Laparoscopic hepatic resection

Aspectos clínico-quirúrgicos de la hidatidosis hepática, una zoonosis de creciente preocupación

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