BACKGROUND/ PURPOSE: Surgery is the cornerstone in the treatment of echinococcosis. The purpose of this study is to report the long-term results of partial cystectomy and omentoplasty in the management of hepatic hydatid disease. MATERIAL AND METHODS: In a retrospective survey over the past 20 years (1982-2001) there were 36 patients (13 men and 23 women, with a mean age of 50 years) with hepatic echinococcosis, treated by partial cystectomy and omentoplasty. All patient data were carefully studied and short-term as well as long-term results were assessed. The cystic lesion was single in all but two cases (5.6%), located in the right lobe of the liver (69.4%), the left lobe (25%) or both lobes (5.6%). The mean size of the cyst was 12 cm in diameter (range 3 to 25 cm). The follow-up was achieved at regular intervals and recently in all, including computed tomography and specific immunological test ELIZA. It has completed a mean 12-year period (range 2 to 21 years) and in 75% of cases up to 10 years. RESULTS: The mean hospital stay was 23 days (range 9 to 51 days). The morbitity was 8/36 (22%) due mainly to septic complications. The 30-day mortality was 1/36 (2.7%). The residual cavity remained for a mean of 8 months (range 4 to 18 months), while fistula formation was seen in 1/36 (2.7%). There was cure in 29 cases (80.6%) without any serological or imaging evidence of residual disease. However, recurrence was documented in 7 cases (19.4%) requiring further treatment. CONCLUSIONS: Following the experience of the authors, partial cystectomy and omentoplasty may be an acceptable alternative to more radical procedures, especially in high risk cases and in developing countries.
BACKGROUND/ PURPOSE: Surgery is the cornerstone in the treatment of echinococcosis. The purpose of this study is to report the long-term results of partial cystectomy and omentoplasty in the management of hepatic hydatid disease. MATERIAL AND METHODS: In a retrospective survey over the past 20 years (1982-2001) there were 36 patients (13 men and 23 women, with a mean age of 50 years) with hepatic echinococcosis, treated by partial cystectomy and omentoplasty. All patient data were carefully studied and short-term as well as long-term results were assessed. The cystic lesion was single in all but two cases (5.6%), located in the right lobe of the liver (69.4%), the left lobe (25%) or both lobes (5.6%). The mean size of the cyst was 12 cm in diameter (range 3 to 25 cm). The follow-up was achieved at regular intervals and recently in all, including computed tomography and specific immunological test ELIZA. It has completed a mean 12-year period (range 2 to 21 years) and in 75% of cases up to 10 years. RESULTS: The mean hospital stay was 23 days (range 9 to 51 days). The morbitity was 8/36 (22%) due mainly to septic complications. The 30-day mortality was 1/36 (2.7%). The residual cavity remained for a mean of 8 months (range 4 to 18 months), while fistula formation was seen in 1/36 (2.7%). There was cure in 29 cases (80.6%) without any serological or imaging evidence of residual disease. However, recurrence was documented in 7 cases (19.4%) requiring further treatment. CONCLUSIONS: Following the experience of the authors, partial cystectomy and omentoplasty may be an acceptable alternative to more radical procedures, especially in high risk cases and in developing countries.
Authors: Elisabeth Fabian; Christian Madl; Sabine Horn; Peter Kornprat; Ralph Maderthaner; Ariane Aigelsreiter; Robert Krause; Peter Fickert; Guenter J Krejs Journal: Wien Klin Wochenschr Date: 2014-12-04 Impact factor: 1.704
Authors: Hoda Abdel Aziz Al Shinawy Shaheen; Saedia Abdel Hady Sayed El-Ahl; Amr Mahmoud Abdel Raouf; Marwa Ahmed El-Dardiry; Manal A Badawi; Amany Ahmed Abdel Aal Journal: Parasitol Res Date: 2019-10-02 Impact factor: 2.289
Authors: Tahleel A Shera; Naseer A Choh; Tariq A Gojwari; Faiz A Shera; Feroze A Shaheen; Ghulam M Wani; Irfan Robbani; Nisar A Chowdri; Altaf H Shah Journal: Br J Radiol Date: 2017-03-07 Impact factor: 3.039
Authors: Virginia Velasco-Tirado; Ángela Romero-Alegría; Moncef Belhassen-García; Montserrat Alonso-Sardón; Carmen Esteban-Velasco; Amparo López-Bernús; Adela Carpio-Perez; Marcelo Fernando Jimenez López; Juan Luis Muñoz Bellido; Antonio Muro; Miguel Cordero-Sanchez; Javier Pardo-Lledias; Luis Muñoz-Bellvis Journal: BMC Infect Dis Date: 2017-06-27 Impact factor: 3.090