World review of laparoscopic treatment of liver cystic echinococcosis—914 patients

Tuxun, Tuerhongjiang; Zhang, Jinhui; Zhao, Jichun; Tai, Qin-wen; Abudurexti, Mierxiati; Ma, Hai‐Zhang; Wen, Hao

doi:10.1016/j.ijid.2014.01.012

Cited by 98 publications

(116 citation statements)

References 76 publications

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“…These procedures demonstrate the risk of hydatid dissemination and problems stemming from the formation of residual cavities, a conversion percentage of up to 30 per cent; higher POM between 0 and 54 per cent, which could be associated with inadequate patient selection; average hospitalization between 1 and 8 days; and recurrence between 0 and 11 per cent. These data are presented in a systematic review of nonrandomized studies, which summarizes the outcomes of 914 patients treated by this type of access, taken from 57 primary articles (evidence type 3a) . Despite the potential problems that this alternative provides us, there is a series of advantages that must be taken into consideration, such as the possibility of inspecting the residual cavity in search of biliary communications (Fig.…”

Section: Resultsmentioning

confidence: 99%

Surgical strategies in the treatment of liver hydatid cyst

Manterola

Otzen

2017

Surgical Practice

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Aim Hydatidosis is an endemic zoonosis that is prevalent in South America, specifically in Chile, Argentina and Uruguay. Liver hydatidosis (LH) is associated with morbidity and mortality due to evolutionary complications, as well as the risk of complications related to surgical procedures. The surgical treatment of LH can be divided into four phases: isolation of the surgical area, evacuation of the cyst, treatment of the complications of the cyst and treatment of the residual cavity. LH surgical procedures can be classified as conservative and radical. The aim of the present study was to present a general, evidence‐based overview of some surgical aspects of interest in the treatment of LH. Patients and Methods An overview was conducted. Articles published between 1990 and 2015 and related to results of surgery in patients with LH were evaluated. PubMed, Web of Science, SciELO and Trip Database were reviewed, and the results of surgery in LH patients were evaluated. Results A total of 301 articles were retrieved, 46 of which met the selection criteria (3 systematic reviews, 2 controlled trials, 5 cohorts studies, 12 observational studies and 24 case series). The studies had a level of evidence of 1b, 2a, 2b, 3a and 4 of prognostic and therapy scenarios. Conclusions The articles found were few and heterogeneous, making meaningful conclusions difficult. Studies with better levels of evidence, methodological quality and population size are needed to make conclusions and recommendations.

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Section: Resultsmentioning

confidence: 99%

Surgical strategies in the treatment of liver hydatid cyst

Manterola

Otzen

2017

Surgical Practice

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“…The indications have expanded through the years. The only excluding criteria for minimally invasive intervention are deep intra-parenchymal cysts, posterior cysts situated close to the vena cava, more than 5 cysts, multilocular cysts with thick and calcified walls 23. According to our institutional protocol, laparoscopy was offered to patients diagnosed with single superficial lesions measuring less than 5 cm, without suspicion of cysto-biliary communication.…”

Section: Discussionmentioning

confidence: 99%

Surgical approaches to hepatic hydatidosis ranging from partial cystectomy to liver transplantation

Goja

Saha

Yadav

et al. 2018

Ann Hepatobiliary Pancreat Surg

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Backgrounds/AimsA wide range of surgical approaches has been described for hepatic hydatidosis aiming primarily at the reduction of disease recurrence and minimization of postoperative morbidity.MethodsA database analysis of patients with liver hydatidosis who underwent different surgical procedures between March 2010 and May 2016 was performed.ResultsA total of 21 patients with cystic echinococcosis (CE) and four cases of alveolar echinococcosis (AED) were detected. Nine patients manifested recurrent disease at presentation. Among CE cases, 5 underwent partial cystectomy (2 laparoscopic and 3 open), 9 cysto-pericystectomy (7 open and 2 robotic) and 7 hepatectomies (1 central, 4 right, 1 left and 1 right trisectionectomy). Living donor liver transplantation was performed in 3 patients with AED and the fourth patient underwent right trisectionectomy with en bloc resection of hepatic flexure and right diaphragm. Seven developed Clavien grade II and three grade III complications. The mean follow-up of CE was 34.19±19.75 months. One patient of laparoscopic partial cystectomy developed disease recurrence at 14 months. No recurrence was detected at a mean follow-up of 34±4.58 months following LDLT and at 24 months following multivisceral resection for AED.ConclusionsThe whole spectrum of tailored surgical approaches ranging from minimally invasive to open and extended liver resections represents safe, effective and recurrence-free treatment of hepatic hydatidosis.

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“…The current data, that resulting from large series and reviews, suggests that the aparoscopic approach is safe in selected patients, but is unclear whether the laparoscopic approach will ever surpass the traditional open approach and become the gold standard of treatment for selected hyadatid cysts. 2 Most authors seem to agree that the size of the hydatid cyst should not influence or limit the indication for the laparoscopic approach. The exclusion criteria were cysts located in segments 1 or 7 of the liver and evidence of intrabiliary rupture.…”

Section: Discussionmentioning

confidence: 99%

“…The exclusion criteria were cysts located in segments 1 or 7 of the liver and evidence of intrabiliary rupture. 2,9 Proper selection of the cases can reduce intra-operative morbidity, recurrence and conversion rates to a minimum.…”

Section: Discussionmentioning

confidence: 99%

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Primary Giant Splenic and Hepatic Echinococcal Cysts Treated by Laparoscopy

Stanciulea

Eftimie

Mosteanu

et al. 2017

J Minim Invasive Surg

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Cystic echinococcosis is a zoonosis caused by the larval stage of Echinococcus granulosus. Liver and lungs are the most commonly affected organs whereas splenic infection is rare and its primary involvement occurs in less than 2% of cases. We report a case of primary giant splenic and hepatic hydatid cyst in a 28-year-old woman who was admitted for upper right quadrant pain. The abdominal ultrasonography and computed tomography showed two cystic tumors with hydatid features in liver and spleen. Total splenectomy was performed for the splenic cyst and partial pericystectomy with drainage for the liver cyst using a laparoscopic approach. One drain was kept in place for two months due to a biliary leak of about 20 ml/day and removed afterward. The patient was discharged on postoperative day 7. Laparoscopic approach for patients with concomitant splenic and hepatic hydatidosis is a safe and effective option.

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World review of laparoscopic treatment of liver cystic echinococcosis—914 patients

Abstract: The laparoscopic approach is safe with acceptable mortality and morbidity for both conservative and radical resections in selected patients. Clinical outcomes are comparable to open surgery, albeit in a selected group of patients.

Cited by 98 publications

References 76 publications

Surgical strategies in the treatment of liver hydatid cyst

Surgical strategies in the treatment of liver hydatid cyst

Surgical approaches to hepatic hydatidosis ranging from partial cystectomy to liver transplantation

Primary Giant Splenic and Hepatic Echinococcal Cysts Treated by Laparoscopy

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