BACKGROUND AND AIMS: Although declining, cystic echinococcosis is still a serious public health issue in Greece. This study evaluated the clinical features, management, and short-term outcome of patients with complicated liver echinococcosis. MATERIAL AND METHODS: A total of 227 patients who were operated on for 322 echinococcal cysts of the liver were retrospectively evaluated. Patients were divided into those with complicated disease (53.7%) and those with noncomplicated disease (46.3%). Intrabiliary rupture (34.4%), cyst infection (32.7%), and their combination (24.5%) were the most common complications. Demographic characteristics, previous hydatid cyst surgery, cyst multiplicity and location, presenting symptoms and signs, types of complicated disease, operative procedures performed, postoperative complications, and hospital stay were assessed. RESULTS: Patient demographics and cyst characteristics demonstrated no significant difference between the two groups. The complicated disease group had significantly more pronounced clinical presentations and higher postoperative morbidity. Choice of surgical procedure depended upon cyst location and surgeon preference. Both conservative and radical procedures were performed, supplemented with additional management of the biliary tree when indicated. CONCLUSIONS: Complicated liver echinococcosis demonstrates several distinct features that differentiate it from the noncomplicated disease. Frequently severe clinical manifestations, complexity of surgical management, and the increased postoperative complications characterize complicated liver echinococcal disease.
BACKGROUND AND AIMS: Although declining, cystic echinococcosis is still a serious public health issue in Greece. This study evaluated the clinical features, management, and short-term outcome of patients with complicated liver echinococcosis. MATERIAL AND METHODS: A total of 227 patients who were operated on for 322 echinococcal cysts of the liver were retrospectively evaluated. Patients were divided into those with complicated disease (53.7%) and those with noncomplicated disease (46.3%). Intrabiliary rupture (34.4%), cyst infection (32.7%), and their combination (24.5%) were the most common complications. Demographic characteristics, previous hydatid cyst surgery, cyst multiplicity and location, presenting symptoms and signs, types of complicated disease, operative procedures performed, postoperative complications, and hospital stay were assessed. RESULTS:Patient demographics and cyst characteristics demonstrated no significant difference between the two groups. The complicated disease group had significantly more pronounced clinical presentations and higher postoperative morbidity. Choice of surgical procedure depended upon cyst location and surgeon preference. Both conservative and radical procedures were performed, supplemented with additional management of the biliary tree when indicated. CONCLUSIONS: Complicated liver echinococcosis demonstrates several distinct features that differentiate it from the noncomplicated disease. Frequently severe clinical manifestations, complexity of surgical management, and the increased postoperative complications characterize complicated liver echinococcal disease.
Authors: Javier Collado-Aliaga; Ángela Romero-Alegría; Montserrat Alonso-Sardón; Antonio Muro; Amparo López-Bernus; Virginia Velasco-Tirado; Juan Luis Muñoz Bellido; Javier Pardo-Lledias; Moncef Belhassen-García Journal: Am J Trop Med Hyg Date: 2019-09 Impact factor: 2.345
Authors: Seckin Akkucuk; Akin Aydogan; Mustafa Ugur; Ibrahim Yetim; Ramazan Davran; Cem Oruc; Erol Kilic; Muhyittin Temiz Journal: Int J Clin Exp Med Date: 2014-08-15
Authors: Bulent Dinc; Serdar Dusen; Nurettin Ay; Selcan Enver Dinc; Burhan Mayir; Umut Riza Gunduz; Ozgur Cem Musri; Bilge Bas; Ugur Dogan; Alten Oskay Journal: Int J Clin Exp Med Date: 2015-03-15
Authors: Nadia Solomon; Eberhard Zeyhle; Jane Carter; John Wachira; Asrat Mengiste; Thomas Romig; Paul J Fields; Calum N L Macpherson Journal: Am J Trop Med Hyg Date: 2017-07-19 Impact factor: 2.345