Principles of the surgical approach in human liver cystic echinococcosis

Perdomo, Roberto; Alvarez, C; Monti, José Fernando Casquel; Ferreira, Ciro; Chiesa, A.; Carbó, Alberto; Alvez, Ruben; Grauert, R; Stern, D; Carmona, Carlos; Yarzábal, L. A.

doi:10.1016/s0001-706x(96)00641-9

Cited by 58 publications

(49 citation statements)

References 3 publications

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“…Similar observations were made in other areas of endemic infection (168). In most of the larger series of patients, there were no significant differences in the gender ratios of individuals with CE (25,149,151).…”

Section: Vol 17 2004 Biology and Epidemiology Of Echinococcosis 109mentioning

confidence: 80%

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Biological, Epidemiological, and Clinical Aspects of Echinococcosis, a Zoonosis of Increasing Concern

2004

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Echinococcosis in humans is a zoonotic infection caused by larval stages (metacestodes) of cestode species of the genus Echinococcus. Cystic echinococcosis (CE) is caused by Echinococcus granulosus, alveolar echinococcosis (AE) is caused by E. multilocularis, and polycystic forms are caused by either E. vogeli or E. oligarthrus. In untreated cases, AE has a high mortality rate. Although control is essentially feasible, CE remains a considerable health problem in many regions of the northern and southern hemispheres. AE is restricted to the northern hemisphere regions of North America and Eurasia. Recent studies have shown that E. multilocularis, the causative agent of AE, is more widely distributed than previously thought. There are also some hints of an increasing significance of polycystic forms of the disease, which are restricted to Central and South America. Various aspects of human echinococcosis are discussed in this review, including data on the infectivity of genetic variants of E. granulosus to humans, the increasing invasion of cities in Europe and Japan by red foxes, the main definitive hosts of E. multilocularis, and the first demonstration of urban cycles of the parasite. Examples of emergence or reemergence of CE are presented, and the question of potential spreading of E. multilocularis is critically assessed. Furthermore, information is presented on new and improved tools for diagnosing the infection in final hosts (dogs, foxes, and cats) by coproantigen or DNA detection and the application of molecular techniques to epidemiological studies. In the clinical field, the available methods for diagnosing human CE and AE are described and the treatment options are summarized. The development of new chemotherapeutic options for all forms of human echinococcosis remains an urgent requirement. A new option for the control of E. granulosus in the intermediate host population (mainly sheep and cattle) is vaccination. Attempts are made to reduce the prevalence of E. multilocualaris in fox populations by regular baiting with an anthelmintic (praziquantel). Recent data have shown that this control option may be used in restricted areas, for example in cities, with the aim of reducing the infection risk for humans

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Section: Vol 17 2004 Biology and Epidemiology Of Echinococcosis 109mentioning

confidence: 80%

“…This technique is well accepted by the population, explores abdominal sites, identifies cyst types, and can be performed at relatively low cost (25,149,151,185). Differential diagnosis of other space-occupying lesions (tumors, liver abscesses, etc.)…”

Section: Vol 17 2004 Biology and Epidemiology Of Echinococcosis 109mentioning

confidence: 99%

Biological, Epidemiological, and Clinical Aspects of Echinococcosis, a Zoonosis of Increasing Concern

2004

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“…Wong et al [12] reported 70% right lobe, 17% left lobe and 13% both lobes. Segment VII had the highest incidence of affection 10 cases (28.5%), followed by segment VIII and VI as there were eight (22.8%) and six (17.1%) cases respectively, then segment IV five cases (14.2%), these findings are supported by many [4], [13] and [14].…”

Section: Discussionmentioning

confidence: 73%

Conservative Hepatic Hydatid Cyst Surgery

Abdel‐Hamid¹,

Nabil²,

Nafady³

et al. 2017

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“…Çok sayıda hastayla yapılan çalışmalarda Kist hidatik'li bireylerin cinsiyet oranlarında anlamlı fark görülmemiştir [1,5].…”

Section: Discussionunclassified

Retrospective evaluation of the echinococcosis cases regarding histopathological aspects

Özgür¹

2013

DicleMedj

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Objective: Retrospective evaluation of 28 cases, diagnosed as hydatid cyst pathologically in our centre pathology laboratory, from surgical departments was the objective of the study.Methods: 28 cases diagnosed as hydatid cyst in our hospital have been reviewed retrospectively and patients' age, gender and localizations of disease have been determined.Results: Based on histopathologic evaluation hydatid cyst cases were localized mostly on liver 19 (68%), followed by lung 7 (24%), glutea 1 (3.5%) and axilla 1 (3.5%). 15 (54%) of the patients were male and 13 (46%) were female. The age range of the cases were 7-73, while the median age of males were 30.2±19.5 years, the median age of females were 35.9±19.2. Necrosis has been determined in 2 (7.1%) of cases in pathologic evaluation of hydatid cyst. Conclusion:The pathologic evaluation of all cystic surgical specimens should include the careful examination of the elements of this parasite especially where hydatid cyst is endemic.

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Principles of the surgical approach in human liver cystic echinococcosis

Cited by 58 publications

References 3 publications

Biological, Epidemiological, and Clinical Aspects of Echinococcosis, a Zoonosis of Increasing Concern

Biological, Epidemiological, and Clinical Aspects of Echinococcosis, a Zoonosis of Increasing Concern

Conservative Hepatic Hydatid Cyst Surgery

Retrospective evaluation of the echinococcosis cases regarding histopathological aspects

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