Surgical management of complicated hydatid cysts of the liver

Abstract

AIM:To review the clinical presentation and surgical management of complicated hydatid cysts of the liver and to assess whether conservative surgery is adequate in the management of complicated hydatid cysts of liver.

A case series of laproscopic management of hydatid cyst of liver

“…3,4 Most common clinical presentation was abdominal pain (65%), which is comparable with previous studies of Malik et al (76.81%) and Akther et al (89.47%). 5,6 Right lobe of liver was most commonly involved (75%), which is similar to studies of Malik et al (65.2%) and Akther et al (62.5%). 5,6 Majority of cysts are single (90%), comparable to previous studies of Safioleas et al (60.6%) and Kalinova et al (84.25%).…”

Partial Cystectomy and Omentoplasty for Liver Hydatid Cyst

“…8,10 Similarly, Mohan SVS et al reported a diagnostic accuracy of 90% and 100% for ultrasound an CT scan respectively. 9 Sayek and his colleagues also used ultrasound abdomen and CT scan abdomen to confirm the diagnosis of hydatid cyst. 15 When ultrasound and CT scan do not provide the necessary information, especially in case of extrahepatic cysts or the serological tests are inconclusive, then MRI can be used as an alternative diagnostic modality for the diagnosis of hydatid disease.…”

“…This figure is slightly higher than 4.3% reported in other studies. 8,9 Radical surgery, pericystectomy or liver resection has lower risk of recurrence than conservative procedures (partial cystectomy, unroofing, capitonnage, omentoplasty).…”

“…1, [8][9][10] Medical treatment with anti-helminthic is usually preferred for small cysts, multiple liver cysts or in combination with surgery. 21 In case of single cyst more than 5cm in diameter and positive serological test, surgical intervention is mandatory.…”

“…3,7 The surgical procedures performed for hydatid liver disease range from complete resection to minimally invasive procedures such as percutaneous aspiration of the cyst. 8,9 Despite potential high risk of recurrence, open partial cystectomy may be a reasonable approach, presenting a good alternative in difficult cases. 8,10 However, the residual cavity remains the main problem.…”