Hydatid cyst of liver: different modalities of management and outcome
DOI:
https://doi.org/10.18203/2349-2902.isj20164442Keywords:
Conservative management, Hydatid cyst, SurgeryAbstract
Background:Echinococcosis affects the liver rather than other organs in 50-70 % of cases. While surgery is recognized as the only satisfactory method of treatment for liver echinococcosis (LE), many controversial results have been reported but total excision of the cyst alone or with part of the liver appear to be the most effective. This method is not always feasible, since it depends on the size and site of the cyst.
Methods: The study information was collected using pre-tested semi structured questionnaire. The questionnaire was presented in the Department for critical review, following which necessary changes were made in the questionnaire. For all patients meticulous records was maintained regarding clinical features, family history, dietary habits and by performing various investigations.
Results:Surgery was the mainstay of management. Out of 30 patients, 24 patients underwent complete pericystectomy (80%), 4 patients underwent incomplete pericystectomy (13.4%) and 3 patients had other procedures along with pericystectomy. Only 2 patients managed conservatively (6.7%).
Conclusions:A variety of techniques, both radical and conservative, are used in the treatment of liver hydatid cyst.
References
Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg. 2004;28:731-6.
Taylor BR, Lange B. Current surgical management of hepatic cyst disease. Adv Surg. 1997;31:127-48.
Placer C, Martin R, Sanchez E, Soleto E. Rupture of abdominal hydatid cysts. Br J Surg. 1998;75:157.
Lygidakis NJ. Diagnosis and treatment of intrabiliary rupture of hydatid cyst of the liver. Arch Surg. 1983;118:1186-9.
Amor BN, Gargouri M, Gharbi HA, Golvan YJ, Ayachi K, Kchouck H. Trial therapy of inoperable abdominal hydatid cysts by puncture. Ann Parasitol Hum Comp .1986;61:689-92.
Akhan O, Dincer A, Gokoz A. Percutaneous treatment of abdominal hydatid cysts with hypertonic saline and alcohol an experimental study in sheep. Invest Radiol. 1993;28:121-7.
Deger E, Hokelek M, Deger BA, Tutar E, Asil M, Pakdemirli E. A new therapeutic approach for the treatment of cystic echinococcosis: percutaneous albendazole sulphoxide injection without reaspiration. Am J Gastroenterol. 2000;95:248-54.
Saimot AG. Medical treatment of liver hydatidosis. World J Surg. 2001;25:15-20.
Todorov T, Vutova K, Mechkov G, Petkov D, Nedelkov G, Tonchev Z. Evaluation of response to chemotherapy of human cystic echinococcosis. Br J Radiol. 1990;63:523-31.
Paksoy Y, Odev K, Sahin M, Arslan A, Koc O. Percutaneous treatment of liver hydatid cysts: comparison of direct injection of albendazole and hypertonic saline solution. AJR Am J Roentgenol. 2005;185:727-34.
Alwan MH. Internal drainage in the treatment of intrabiliary communication of hydatid cyst of the liver. Int Surg. 1982;67:456-8.
Petrovsky BV, Milonov OB, Deenichin PN. Surgery of echinococcosis. Moscow medicina; Sophia. Fizkultura I Spor. 1985:215.
Vakhidov AV, Ilkhamov FA, Strussky LP, Azatyan TS. Diagnosis and treatment of echinococcosis of the liver complicated by cysto-biliary fistula. Chirurgia (Moscow). 1998;5:15-7.
Osmanov AO. Complicated liver echinococcosis. Dissertation of medical doctor. Moscow. 1997:287.
Corneleac E, Cojocaru E, Crauciuc R. Hepato-cysto cholecystostomine dans les cavites residuelles post-hydatique. Lyon Chir. 1966;62:663-9.
Luis J, B. Hydatid disease of the liver. Am J Surg. 1978;135:597-600.
Magistrelli P, Masetti R, Coppola R, Messia A. Surgical treatment of hydatid disease of liver: a 20 year experience. Arch Surg. 1991;126:518-23.
Zaouche A, Haouet K. Traitement chirurgical des kystes hydatiques du foie. EMC, techniques chirurgicales, Appareil digestif. Elsevier Masson. 2006;40:775.
