Abstract:This large national observational multicentre series shows a significant improvement in surgical management of HLD in Argentina, with a decrease in mortality, morbidity, early and late reoperation and recurrence rates. A recent trend was observed in favour of an earlier diagnosis, less complicated clinical presentation and recent use of minimally invasive approaches.
“…A longitudinal study was conducted by Secchi et al [19] in ten referral centers in Argentina from 1975 to 2007. The result analysis was divided into two study groups (1975-1990 and 1991-2007).…”
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 longitudinal study was conducted by Secchi et al [19] in ten referral centers in Argentina from 1975 to 2007. The result analysis was divided into two study groups (1975-1990 and 1991-2007).…”
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.
“…The principles of liver hydatid surgery include inactivation of protoscolices within the cyst fluid, evacuation of the cyst contents, prevention of content spillage, secure closure of any cystobiliary communications, and management of the residual cyst cavity (4)(5)(6). After a laparotomy and packing with hypertonic saline impregnated packs, two main types of procedures were done in this study group, radical surgery (peri-cystectomy and liver resection) and conservative surgery (deroofing and endocystectomy) with subsequent management of the resultant cavity by either marsuplization, omentoplasty, or drainage.…”
TurkeyHydatid disease is a zoonosis caused by the larvae of Echinococcus granulosus. Humans are an intermediate host and are usually infected by direct contact with dogs or indirectly by contaminated foods. Hydatid disease mainly involves the liver and lungs. The disease can be asymptomatic. Imaging techniques such as ultrasonography and computed tomography are used for diagnosis. The growth of hydatid cysts can lead to complications. Communication between bile duct and cysts is a common complication. The goal of treatment for hydatid disease is to eliminate the parasite with minimum morbidity and mortality. There are 3 treatment options: surgery, chemotherapy, and interventional procedures. Medical treatment has low cure and high recurrence rates. Percutaneous treatment can be performed in select cases. There are many surgical approaches for managing hydatid cysts, although there is no best surgical technique, and conservative and radical procedures are used. Conservative procedures are usually preferred in endemic areas and are easy to perform but are associated with high morbidity and recurrence rates. In these procedures, the parasite is sterilized using a scolicidal agent, and the cyst is evacuated. Radical procedures include hepatic resections and pericystectomy, which have high intraoperative risk and low recurrence rates. Radical procedures should be performed in hepatobiliary centers. The most common postoperative complications are biliary fistulas and cavityrelated complications. Endoscopic retrograde cholangiopancreatography can be used to diagnose and treat biliary system complications. Endoscopic sphincterotomy, biliary stenting, and nasobiliary tube drainage are effective for treating postoperative biliary fistulas.
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