Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery.

Abstract

OBJECTIVE. Percutaneous treatment of hydatid cysts is relatively new, and the data related to it are limited.The purpose of this study was to provide additional data to strengthen the proof of its effectiveness. SUBJECTS AND METHODS.One hundred sixty-eight hepatic cysts in I 1 1 patients were treated using a percutaneous approach under sonographic and fluoroscopic guidance.Cysts smaller than 5 cm in diameter were treated with a one-stage procedure that consisted of puncture of the cyst, aspiration of fluid, and injection and reaspiration of hypertonic saline solution. Larger cysts were treated with a two-stage procedure that consisted of the one-stage procedure followed by catheterization and sclerotherapy with alcohol.

Radiologic findings and percutaneous treatment of a rare giant soft tissue hydatid cyst

“…In addition, medical therapy such as Benzimidazole derivatives given either alone or as a supplementary treatment is currently used in cystic hydatid disease. Owing to the developments in percutaneous treatment, the percutaneous approach has also been reported as a safe and effective alternative treatment (2,(8)(9)(10).…”

“…These factors may explain much lower recurrence rates and the absence of secondary dissemination with percutaneous treatment (9,10,12).…”

Laparoscopic management of renal and hepatic hydatidosis in a child: a case report and review of literature

“…8 Other drawback are cysts in proximity to major blood vessels, difficulty in eradicating complicated cysts (Gharbi types III and IV) and lack of accessibility to extrahepatic cysts. [9][10][11] Hydatid cysts can be managed either by open surgery or by minimal invasive surgery. There are case reports of children with renal hydatid cyst being managed by retroperitoneoscopic technique.…”

Percutaneous treatment of liver hydatid cysts in 190 patients: a retrospective study

“…The aim of all treatment modalities for HLD should be to relieve symptoms, inactivate and completely remove viable scolices and germinative membranes, and manage the residual cavity. There is no best treatment option; various methods are available and include: medical therapy with benzimidazole compounds; conservative or radical surgery; percutaneous treatment; and a ''watch and wait'' approach (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)21,22). The success rate of medical therapy alone for HLD is 18-50%, with a recurrence rate of 3-30% (11)(12)(13)21).…”

“…The safety and efficacy of percutaneous treatment of CE1 and CE3a cysts have been well demonstrated with success rate of 97.1-100% (5,(7)(8)(9)(10)16,22,23,30). However, percutaneous treatment of CE2 cysts may be more problematic due to the contents of the cysts, and a lower success rate (39%) was reported with the PAIR procedure (31).…”