Turkish HPB Surgery Association consensus report on hepatic cystic Echinococcosis (HCE)

Öztürk, Gürkan; Uzun, Mehmet Ali; Özkan, Ömer Faruk; Kayaalp, Cüneyt; Tatlı, Faik; Eren, Suat; Aksungur, Nurhak; Çöker, Ahmet; Bostancı, Erdal Birol; Öter, Volkan; Kaya, Ekrem; Tasar, Pinar

doi:10.47717/turkjsurg.2022.5757

Cited by 5 publications

(10 citation statements)

References 154 publications

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“…1,3,15 Percutaneous therapy Percutaneous approaches for the treatment of liver CE include PAIR, standard catheterisation and modified catheterisation technique (MoCat). 4,[28][29][30][31][32][33] PAIR therapy is successfully used for single-compartment cysts, such as CE1 and CE3a cysts less than 10 cm in diameter. Deterrence of PAIR use includes CE2 and CE3b cysts, cases where safe percutaneous cyst localisation with ultrasound guidance is unavailable, and when there is evidence of cysto-biliary communication.…”

Section: Treatmentmentioning

confidence: 99%

“…Deterrence of PAIR use includes CE2 and CE3b cysts, cases where safe percutaneous cyst localisation with ultrasound guidance is unavailable, and when there is evidence of cysto-biliary communication. 1,20,28,30,34 Standard catheterisation technique is also used for CE1 and CE3a cysts but includes cysts with a diameter greater than 10 cm or those with cystic fluid content of more than 1,000 ml. 20,35 If a cysto-biliary communication is found during PAIR, a standard catheterisation technique may be utilised to control biliary drainage.…”

Section: Treatmentmentioning

confidence: 99%

“…At the end of the procedure, the catheter can be left in place for any ongoing fluid drainage. 3,13,20,28,33,39 The first step in the standard PAIR technique is to puncture and aspirate the cyst under ultrasound guidance. A scolicidal agent is then injected into the cystic cavity to sterilise the cyst of any viable protoscoleces and destroy the germinal layer.…”

Section: Treatmentmentioning

confidence: 99%

“…Percutaneous approaches for the treatment of liver CE include PAIR, standard catheterisation and modified catheterisation technique (MoCat). 4 , 28 – 33 …”

Section: Percutaneous Therapymentioning

confidence: 99%

Section: Percutaneous Therapymentioning

confidence: 99%

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Liver cystic echinococcosis: a parasitic review

Govindasamy

Bhattarai

John

2023

Therapeutic Advances in Infection

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Liver cystic echinococcosis (CE), known as hydatid disease, is caused by the tapeworm Echinococcus granulosus sensu lato. Humans are accidental hosts in this zoonotic disease process, and hepatic infection accounts for over two-thirds of all cases. Since signs and symptoms are mainly non-specific, especially in early disease, clinicians should have a low threshold to include CE as a differential diagnosis in patients with positive serology and suggestive radiological findings, especially in endemic regions. The standard management for liver CE depends on the patient’s symptoms, the radiological stage, the size and location of the cyst, the presence of complications and the treating clinicians’ expertise. In this review, we discuss the lifecycle of Echinococcus granulosus sensu lato and its epidemiology and then focus on discussing the clinical features, diagnosis and treatment options of CE of the liver.

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Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

“…Percutaneous approaches for the treatment of liver CE include PAIR, standard catheterisation and modified catheterisation technique (MoCat). 4 , 28 – 33 …”

Section: Percutaneous Therapymentioning

confidence: 99%

Section: Percutaneous Therapymentioning

confidence: 99%

See 3 more Smart Citations

Liver cystic echinococcosis: a parasitic review

Govindasamy

Bhattarai

John

2023

Therapeutic Advances in Infection

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Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery

Sabuncuoglu,

Sozen,

Zihni

et al. 2024

Biomol Biomed

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Bile leakage is a common complication following liver surgeries, particularly in the cases of liver hydatid cyst operations. Currently, there is no adequate method which could be utilized to prevent this complication effectively. Our study aimed to assess the efficacy of the biliary lipid test (BLT) in reducing biliary complications after hydatid cyst surgery. We retrospectively included patients who underwent open liver hydatid cyst surgery between January 2011 and January 2024. The study encompassed 122 patients, with 41 males and 81 females, ranging in age from 18 to 79 years. In the BLT group, a lipid solution was injected transcystically after cholecystectomy. The BLT was performed on 65 patients, while 57 patients did not undergo the test. Following the transcystic injection of the lipid solution, orifices at the site of lipid droplets that became visible were ligated with 5.0 prolene sutures. A total of 200 leak sites were sutured. Notably, none of the patients in the BLT group experienced postoperative bile leakage. Consequently, a shorter hospital stay was observed in this group. Transcystic injection of the lipid solution with distal clamping effectively demonstrated leak sites, and suturing these sites prevented postoperative bile leakage. Our study demonstrates the effectiveness of the LIpid test in LIver Hydatid Cyst Surgery (Lili-Hics) in reducing biliary complications following hydatid cyst surgery.

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Optimization of the surgical approach to treating hepatic cystic echinococcosis: A retrospective observational non-randomized study

Boyarinov,

Rogal,

Novikov

et al. 2024

Kuban. nauсh. med. vestnik

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Background. Hepatic echinococcosis poses a great threat to human health and life. In order to minimize the risk of disability and speed up the postoperative recovery process, it is necessary to make an informed choice of the surgical treatment approach to be used. However, it is still unclear when traditional surgical methods should be applied and when less traumatic, minimally invasive, ultrasound-guided interventions can be used. This is what prompted this study. The article presents the results of using different surgical methods to treat patients with hepatic echinococcal cysts.Aim. To improve the outcomes of treating patients with hepatic cystic echinococcosis by optimizing the surgical approach using percutaneous minimally invasive and traditional surgical interventions.Methods. A non-randomized comparative study was conducted at the Sklifosovsky Institute for Emergency Medicine of the Moscow Department of Health. The subjects were treated in 2010–2020, with a follow-up period of four years after surgical treatment. A total of 78 patients with hepatic echinococcal cysts aged 18 to 78 years were treated. At the preoperative stage, medical history was collected from all patients, including data on migration during life. The diagnosis of all patients was confirmed through laboratory tests, instrumental methods (computed tomography and ultrasound), and a morphological examination of surgical material. All patients were divided into four groups: three groups of patients treated using different percutaneous minimally invasive methods and a comparison group of patients who underwent traditional surgery. The systematization of the material and its primary mathematical processing were performed using Excel 2016 (Microsoft, USA). The obtained numerical data were processed via methods of mathematical statistics using IBM SPSS Statistics 26 Version (IBM, USA).Results. In the sample distribution of the studied groups by gender, age, as well as the number of cysts and concomitant diseases, no statistically significant differences were identified; however, the study yielded several results indicating the advantages of using minimally invasive treatment for hepatic echinococcal cysts. In spite of the high likelihood of biliary fistulas and a suppurative residual cavity occurring with the use of minimally invasive methods, a statistically significant reduction in the operation time, duration of anesthesia in the postoperative period, and blood loss were observed, which in turn reduced the stay in the inpatient surgical facility.Conclusion. Minimally invasive methods can be used in all types of hepatic echinococcal cysts, as well as traditional surgery. It is reasonable to perform minimally invasive interventions if the clinic is adequately equipped and the surgeon is experienced in minimizing postoperative complications and recurrences.

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Turkish HPB Surgery Association consensus report on hepatic cystic Echinococcosis (HCE)

Cited by 5 publications

References 154 publications

Liver cystic echinococcosis: a parasitic review

Liver cystic echinococcosis: a parasitic review

Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery

Optimization of the surgical approach to treating hepatic cystic echinococcosis: A retrospective observational non-randomized study

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