Background: large retrospective clinical study describing the long-term experience of a single center in the surgical management of liver echinococcosis in an endemic area. Methods: 232 patients were operated for liver hydatid disease between 1978 and 2012. Seventy-three patients (Group A) underwent a radical procedure (total pericystectomy or hepatectomy), while 145 (Group B) were treated with a more conservative method (partial cystectomy, with external drainage, omentoplasty or capitonnage) and 14 (Group C) received a combination of total and partial cystectomies. Morbidity, mortality, post-operative complications and recurrence rates in the long-term setting were retrospectively evaluated. Results: Group A patients were treated with zero mortality and a morbidity rate of 10.95%. No recurrence was documented. In Group B, mortality reached 2.76%, (p = 0.153 compared to Group A) morbidity 24.13% (p = 0.021) and there were 10 cases of relapse (6.9%) at three-year complete follow-up (p = 0.989). Extrahepatic sites of disease were not uncommon. Discussion: radical surgical procedures were better tolerated by patients and yielded better results in terms of recurrence rates

Surgical management of hydatid liver disease

DIONIGI, GIANLORENZO;
2015-01-01

Abstract

Background: large retrospective clinical study describing the long-term experience of a single center in the surgical management of liver echinococcosis in an endemic area. Methods: 232 patients were operated for liver hydatid disease between 1978 and 2012. Seventy-three patients (Group A) underwent a radical procedure (total pericystectomy or hepatectomy), while 145 (Group B) were treated with a more conservative method (partial cystectomy, with external drainage, omentoplasty or capitonnage) and 14 (Group C) received a combination of total and partial cystectomies. Morbidity, mortality, post-operative complications and recurrence rates in the long-term setting were retrospectively evaluated. Results: Group A patients were treated with zero mortality and a morbidity rate of 10.95%. No recurrence was documented. In Group B, mortality reached 2.76%, (p = 0.153 compared to Group A) morbidity 24.13% (p = 0.021) and there were 10 cases of relapse (6.9%) at three-year complete follow-up (p = 0.989). Extrahepatic sites of disease were not uncommon. Discussion: radical surgical procedures were better tolerated by patients and yielded better results in terms of recurrence rates
2015
http://www.elsevier.com/wps/find/journaldescription.cws_home/705107/description#description
Echinococcosis; Liver hydatid disease; Parasitic cyst; Pericystectomy; Radical surgical procedures; Surgery
Georgiou, Georgios K; Lianos, Georgios D.; Lazaros, Avrilios; Harissis, Haralampos V.; Mangano, Alberto; Dionigi, Gianlorenzo; Katsios, Christos
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11383/2023128
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