2001, Number 1
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Cir Gen 2001; 23 (1)
Results from the surgical treatment of non-complicated hepatic hydatidosis
Nari GA, Moreno E, Nassar M, Ponce O
Language: Spanish
References: 18
Page: 29-32
PDF size: 151.96 Kb.
ABSTRACT
Objective: To report our results with surgical treatment of non-complicated hepatic hydatidosis.
Setting: Second level health care hospitals.
Design: Retrospective, observational study without control group.
Patients and methods: We studied 25 patients, carriers of non-complicated hepatic hydatidic cysts. We analyzed gender, location, used surgical procedure, complications, peri-operative mortality, and follow-up with ultrasonography and computed tomography.
Results: There were a total of 43 cysts in 25 patients, 15 women and 10 men, their ages ranged between 30 and 70 years, mean of 59. Thirty cysts were located in the right hepatic lobe and 13 in the left one; seven surgical techniques were used for their treatment, of these the most frequent was pericystectomy (17 times), followed by lobectomy (14 times). Complications were: bilirachia in three patients, wound infection in two patients and intra-cyst infection in one. One patient died (4%). Follow-up of patients has varied from 6 months to a year, with a mean of 38 months without recurrences.
Conclusion: Non-complicated hepatic hydatidosis, in its cystic form, responds adequately to surgical treatment.
REFERENCES
Alfieri S, Doglietto GB, Pacelli F, Costamagna G, Carriero C, Mutignani M, et al. Radical surgery for liver hydatid disease: a study of 89 consecutive patients. Hepatogastroenterology 1997; 44: 496-500.
Nari G, Moreno E, Nassar M, Granero E, Olivares S. Hidatidosis equinococcosica hepática: Nuestra experiencia. Rev Argent Gastroenterol 1996; 10: 3-6.
Dilsiz A, Acikgozoglu S, Gunel E, Dagdonderen L, Kaseoglu B, Gundogan AH. Ultrasound-guided percutaneous drainage in the treatment of children with hepatic hydatid disease. Pediatr Radiol 1997; 27: 230-3.
Filice C, Brunetti E. Use of PAIR in human cystic echinococcosis. Acta Trop 1997; 64: 95-107.
Gil Grande L, de la Serna C. The current state of the medical treatment of abdominal hydatiddosis. (Echinococcus granulosus). Gastroenterol Hepatol 1997; 20: 366-9.
Khuroo MS, Wani NA, Javid G, Khan BA, Yattoo GN, Shah AH, et al. Percutaneous drainage compared with surgery for hepatic hydatic cysts. N Engl J Med 1997; 337: 881-7.
Turkcapar AG, Ersoz S, Gungor C, Aydinuraz K, Yerdel Ma, Aras N. Surgical treatment of hepatic hydatidosis combined with perioperative treatment with albendazole. Eur J Surg 1997; 163: 923-8.
Amicucci G, Sozio ML, Sozio A, Bocchio M, Rizzo FM. Cisti idatidee del lobo destro del fegato trattate con perecistectomic totali per via transparenchimale. G Chir 1998; 19: 49-50.
Daher M, Abi-Akl A, Rassi Z, Souraty P, el-Khazem M, Khalife P. Diagnosis and treatment of hydatid cysts of the liver. Apropos of 87 cases operated on between 1980 and 1992. J Med Liban 1996; 44: 121-8.
Di Matteo G, Bove A, Chiarini S, Capuano LG, De Antoni G, Lanzi G, et al. Hepatic echinococcus disease: our experience over 22 years. Hepatogastroenterology 1996; 43: 1562-5.
Escarti Arias A, Aquilella Diago V, Martínez Díez M, Val-Carreres Guinda A, Arribas de Amo M, González González M. Hidatidosis hepática. Tratamiento quirúrgico de 136 casos. Cirugía Española 1997; 61: 108-111.
Gogas J, Papachristodoulou A, Zografos G, Papastratis G, Gardikis S, Markopoulos C et al. Erfahrungen mit der chirurgischen Therapie der Leberechinococcose. Zentralbl Chir 1997; 122: 339-43.
Miguelena Bobadilla J, Queralt Solari C, Salinas Payer J, Laguens Sahun P, Güemes A, Deus Fombellida J, et al. Cirugía radical: Tratamiento de elección en la hidatidosis hepática. Aportación de nuestra experiencia. Cirugía Española 1988; 44: 589-94.
Sarbu V, Unc O, Bratu M. O nova technica chirurgicala in tratamentul chistului hidatie hepatic necomplicat. Chirurgia (Bucur) 1998; 93: 39-42.
Besim H, Karayalcin K, Hamamci O, Gungor C, Korkmaz A. Scolicidal agents in hydatid cysts surgery. HPB Surg 1998; 10: 347-51.
Landa Garcia JI, Alonso E, Gonzalez–Uriarte J, Rodríguez Romono D. Evaluation of scolicidal agents in an experimental hydatid disease model. Eur Surg Res 1997; 29: 202-8.
Marks J, Mouiel J, Katkhouda N, Gugenheim J, Fabiani P. Laparoscopic liver surgery. A report on 28 patients. Surg Endosc 1998; 12: 331-4.
Sabau D, Draghincescu M, Iugulescu M, Avgherino S, Matei C, Stadnicou O, et al. Chistul hidatic hepatic in chirurgia miniinvaziva. Chirurgia (Bucur) 1997; 92: 59-65.