scholarly journals Concomitant Occurrence of Hepatopulmonary hydatid Cysts in Turkey

2021 ◽  
Author(s):  
Emel Türk Arıbaş ◽  
Bayram Metin ◽  
Ahmet Dumanlı ◽  
Olgun Kadir Arıbaş
Keyword(s):  
Outcome Measure ◽  
Hepatic Cyst ◽  
Common Symptom ◽  
Hydatid Cysts ◽  
Treatment Methods ◽  
Right Thoracotomy ◽  
Right Lobe ◽  
The Mean ◽  
The Right ◽  
Pulmonary Cyst

Background: We aimed to report the demographic characteristics with diagnosis and treatment methods in patients with concomitant hepatopulmonary hydatid cysts. Methods: Over a ten-year period (from 2002–2020) in Konya, Turkey, surgery was performed on 52 patients with hepatopulmonary hydatid cyst. Main outcome measure(s) were 52 hydatid cysts patients, which had cysts both in the liver and lungs, were investigated regarding their age, gender, cyst localization, suppuration, symptoms, and treatment methods. Results: Seventeen of the patients were males. Their mean age was 39.7±18.8 years. The most common occupation was housewifery. The most common symptom was coughing and none of the patients with concomitant hepatopulmonary hydatid cysts was asymptomatic. The pulmonary hydatid cysts were mostly encountered in the right lung and the majority of the hepatic hydatid cysts were observed in the right lobe. The mean hospitalization time of the operated patients was 17.12±6.7 days. Conclusion: In patients with hydatid cysts localized concomitantly in the right lung and subdiaphragmatic area, right thoracotomy for the pulmonary cyst and a transdiaphragmatic approach for the hepatic cyst is a safe, effective, and comfortable method.

scholarly journals Laparoscopic approach in the treatment of echinococcal liver disease - case report and literature review

2020 ◽  
Vol 148 (7-8) ◽  
pp. 480-483
Author(s):  
Nikola Grubor ◽  
Boris Tadic ◽  
Vladimir Milosavljevic ◽  
Djordje Knezevic ◽  
Slavko Matic
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Open Surgery ◽  
Laparoscopic Approach ◽  
Parasitic Disease ◽  
Hydatid Cysts ◽  
Disease Case ◽  
Right Lobe ◽  
The Right ◽  
Hepatic Hydatid

Introduction. Cystic echinococcosis or hydatid disease is a parasitic disease, zoonosis, and is most commonly caused by Echinococcus granulosus larvae. It mainly occurs in endemic areas. The most common localization is the liver. Case outline. In this paper, we will present our experience with a 67-year-old female patient diagnosed with an echinococcal cyst in the right lobe of the liver, as confirmed by computed tomography examination of the abdomen. The patient underwent laparoscopic partial pericystectomy with omentoplasty. The operation went without complications, as well as the postoperative period. Conclusion. Laparoscopic partial pericystectomy is a safe and effective treatment of available hepatic hydatid cysts. Considering all the benefits of minimally invasive surgery, laparoscopic partial pericystectomy of hepatic hydatid cysts may be the treatment of choice, over the classical open surgery approach.

scholarly journals Radiofrequency Energy in Hepatic Bed during Partial Cystectomy for Hydatid Liver Disease: Standing Out from the Usual Conservative Surgical Management

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Eleftherios Mantonakis ◽  
Alexandros Papalampros ◽  
Demetrios Moris ◽  
Nikolaos Dimitrokallis ◽  
Panagiotis Sakarellos ◽  
...  
Keyword(s):  
Liver Disease ◽  
Postoperative Morbidity ◽  
Effective Means ◽  
Partial Cystectomy ◽  
Radiofrequency Energy ◽  
Recurrence Rates ◽  
Right Lobe ◽  
The Mean ◽  
The Right

Background. Surgical treatment of hydatid liver disease (HLD) is divided into conservative and radical procedures. While conservative techniques are easier and faster to perform, there is an emerging need to reduce their morbidity and recurrence rates. Our aim was to present and evaluate the efficiency and safety of the application of radiofrequency energy (TissueLink® and Aquamantys® systems) in hepatic bed during partial cystectomy.Materials and Methods. Eighteen consecutive patients with hydatid liver cysts were referred to our department between April 2006 and June 2014. Data about demographics, mortality, morbidity, and recurrence rate were obtained and analyzed retrospectively.Results. The mean follow-up was 38 months (range: 4–84 months). The postoperative course of most patients was uneventful. One case of recurrence was found in our series in a patient with 4 cysts in the right lobe, 3 years after initial treatment. He was reoperated on with the same method.Conclusions. Saline-linked RF energy seems to be an effective means to be employed in conservative surgical procedures of HLD, with satisfactory postoperative morbidity. Recurrence rates appear to be low, but further follow-up is needed in order to draw safer conclusions.

Scintiscan Characteristics of Normal Thyroid Gland in a Region of Known Iodine Intake

1976 ◽  
Vol 15 (02) ◽  
pp. 60-62
Author(s):  
Lucille E. Snoop ◽  
G. T. Krishnamurthy
Keyword(s):  
Thyroid Gland ◽  
Surface Area ◽  
Iodine Intake ◽  
Left Lobe ◽  
Morphological Features ◽  
Poor Correlation ◽  
Normal Thyroid ◽  
Right Lobe ◽  
The Mean ◽  
The Right

SummaryMorphological features of a normal thyroid gland in a geographical region where the daily iodine intake is about 1 mg are established. The mean weight of the thyroid gland is 31.3 gm with a range from 19 to 43 gm. Oblique length of the right lobe is 5.0 cm and that of the left lobe 4.8 cm. The surface area of the right and left lobes is 9.7 and 9.1 cm2, respectively. The weight of the thyroid gland calculated on the basis of the scan obtained with 99mTcO4 is quite variable and shows poor correlation (γ = 0.40) with the weight obtained on the basis of I-131 scan. It is suggested that the criteria of normalcy be established regionally based on iodine intake, and that an isotope of iodine be used in calculating the weight of thyroid gland for dosimetry purposes.

Minimally Invasive Video-assisted Thyroidectomy: 2 Yrs Work

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P41-P41
Author(s):  
Eugene P. Snissarenko ◽  
Grace H Kim ◽  
Alfred A Simental ◽  
Jon E. Zwart ◽  
Darron M. Ransbarger ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Left Lobe ◽  
Average Weight ◽  
Video Assisted ◽  
Vocal Cord Paresis ◽  
Surgical Access ◽  
Right Lobe ◽  
The Mean ◽  
Recurrent Laryngeal Nerves ◽  
The Right

Objective The minimally invasive video-assisted thyroidectomy (MIVAT) technique was first pioneered in Europe in the 1990s. It has shown to have comparable results to traditional thyroidectomy and additional advantages such as better cosmetic results as well as faster recovery. This project aims to analyze the results from the MIVAT procedure utilizing a 2-person technique over the initial 2 years of inception at an academic training center. Methods Retrospective review of 170 cases between May 2006 and September 2007 at LLUMC. The demographic and clinical data collected includes age, sex, incision, operative times, hospitalization, identification of recurrent laryngeal nerves, pathology, size of the dominant nodule and entire gland, and postoperative complications. Results 23 male and 147 female patients underwent MIVAT by a single surgeon; of those, 59 total thyroidectomies and 111 hemithyroidectomies were performed. The mean incision length was 3.5cm. The average weight/volume on pathology was 19.25g/19cm3, 21.03g/22cm3 and 31.29g/40cm3 for the right lobe, left lobe, and entire gland respectively. Average nodule size was 3.6cm3. The mean surgical time was 91.7 minutes and the mean blood loss was 31cc. Average hospitalization stay was 1.43 days. 17 patients experienced temporary hypocalcemia, and 1 patient remained hypocalcemic for more then 6 months. Two patients experienced transient pitch problems, 7 patients experienced temporary unilateral vocal cord paresis, and 1 patient experienced mild diplophonia. Conclusions While enabling smaller surgical access for thyroidectomy, 2-surgeon technique MIVAT can be performed safely and quickly. Voice problems were the most common complications that usually resolved in 8 weeks.

Thyroid gland volume and echo structure in 13-year-old children in northern Finland

1991 ◽  
Vol 124 (3) ◽  
pp. 238-244 ◽  
Author(s):  
Raija M. Takalo ◽  
Hanna P. Mäkäräinen ◽  
R. Kaarina Jaakkola
Keyword(s):  
Thyroid Gland ◽  
Thyroid Volume ◽  
Iodine Intake ◽  
Focal Lesion ◽  
Contact Method ◽  
Thyroid Gland Volume ◽  
Right Lobe ◽  
The Mean ◽  
The Right ◽  
Thyroid Parenchyma

Abstract. The purpose of this work was to determine by ultrasound the volume and echo structure of the thyroid gland in 13-year-old schoolchildren in northern Finland. 76 healthy schoolchildren underwent cervical ultrasound examinations during the period of Jan-Feb 1990, performed with a real-time scanner using a 7.5 MHz linear transducer and direct contact method. The volume of each lobe was calculated according to the formula for a volume of rotation ellipsoid by multiplication of maximal thickness, width and height of the lobe by the correction factor 0.479. Any focal lesion that could be distinguished in the homogenous thyroid parenchyma was assessed for echogenicity as compared with the normal thyroid gland and was measured with electronic calipers. The mean thyroid volume was 6.5±1.6 ml (mean ±sd), being 6.3±1.8 ml in the boys and 6.7± 1.4 ml in the girls. The sex difference was not significant. The right lobe was significantly larger than the left one (mean 3.7 and 2.8 ml, respectively). Thyroid volume was correlated with body weight and body surface area in both sexes. Abnormal lesions in terms of echo structure were noted in one subject (1.3%). Comparing the results with the findings reported from other countries, it can be concluded that the thyroid volume in these 13-year-old Finnish schoolchildren was about 30% less than that reported for the same age group in the FRG (with insufficient iodine intake) and about 35% more than in 13-year-old schoolchildren in Sweden (with sufficient iodine intake).

scholarly journals Sonographic Evaluation of Liver Dimensions among Apparently Healthy Adult Subjects in Kano Metropolis

2021 ◽  
pp. 3857-3863
Author(s):  
Ghali Makoda Sani
Keyword(s):  
Healthy Adult ◽  
Reference Value ◽  
Normal Liver ◽  
Liver Size ◽  
Cross Sectional ◽  
Right Lobe ◽  
Males And Females ◽  
The Mean ◽  
The Right ◽  
Apparently Healthy

The ability to ascertain the human liver by a sonographer allows for the diagnosis of various liver pathologies, establishing normal liver size aids in determining the treatment method for the underlying liver pathology. The study was aimed at evaluating normal liver size among apparently healthy adult subjects and to establish a reference value in Kano Metropolis. The study design was prospective and cross-sectional conducted in Kano Metropolis from June 2019 to September 2019. Using simple random sampling, a total of 384 subjects were recruited in the study. An EDAN ultrasound machine with a 3.5MHz curvilinear probe was used as the instrument for data collection. Age, height, weight, BMI and BSA were recorded on a data capture sheet. Data was analyzed by SPSS version 23.0. The mean (±SD) for cranio-caudal dimension of the right lobe was found to be 14.99±0.74cm in males and 14.38±0.72cm in females, mean left lobe 5.76±0.85cm in males and 5.39±0.81cm in females. The mean AP diameter of the right lobe was 13.02±1.12cm in males and 12.34±0.95cm in females. Liver dimension in males was greater than that of females (p˂0.001). Age and weight show significant moderate correlations with liver dimensions. (r=0.52, p˂0.001 and r=0.44, p˂0.001) in both males and females respectively. In Kano Metropolitan population, liver size was greater in males than females. It correlates significantly with age and weight in both males and females.

scholarly journals Multiple Fat- Containing Hepatic Hydatid Cysts: A Case Report in The X- Ray Institute at Medical City Health Directorate in Iraq

2021 ◽  
Vol 21 (2) ◽  
pp. 64-69
Author(s):  
Issam Tariq Abdul-Wahaab ◽  
◽  
Khaleel A Hadi ◽  
Haider Abdulameer Ghayad
Keyword(s):  
Case Report ◽  
Biliary Tree ◽  
Hydatid Cysts ◽  
Fat Globules ◽  
Large Size ◽  
Health Directorate ◽  
Medical City ◽  
Right Lobe ◽  
The Right ◽  
Hepatic Hydatid

Background: Hydatidosis is a zoonotic disease caused by Echinococcus granulosus and Echinococcus multilocularis parasite which is still endemic in many countries all over the world especially in the developing countries. The liver is the primary site to be infested by the parasite with a rate of 60 – 75%. The right lobe of the liver gets infected in about 80% of cases. Hydatid disease of the liver is usually asymptomatic and most cases discovered accidentally on routine clinical or radiological examinations for other illness. Symptoms usually appear in complicated cases either due to rupture, secondary bacterial infection, or due to the large size of the cyst which might cause pain in the right upper quadrant of the abdomen, discomfort, and sometimes swelling. In this case report, we reported the presence of fat globules within the hepatic hydatid cysts which is most probably due to rupture of hepatic hydatid cysts into the biliary tree. Keywords: Hepatic, hydatid cyst, fat globule and CT scan

Pulmonary and hepatic metastasectomy in colorectal cancer–is it worth it

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 14574-14574
Author(s):  
G. Demir ◽  
R. U. Gürsu ◽  
S. Pekmezci ◽  
K. Kaynak
Keyword(s):  
Overall Survival ◽  
Hepatic Metastases ◽  
Left Lobe ◽  
Postoperative Chemotherapy ◽  
Pulmonary Metastasectomy ◽  
Primary Surgery ◽  
Right Lobe ◽  
The Mean ◽  
The Right ◽  
Mean Time

14574 Forty eight patients (24 males and 24 females) with colorectal carcinoma and lung or hepatic metastasis who had undergone metastasectomy were evaluated retrospectively. The mean age was 58.12±8.34 years (43–79 years). The mean age of the males was 60.16±8.21 years (47–79 years), while it was 56.08±8.13 years in the females (43–71 years). Among the 48 metastasectomies that were performed, 11 were pulmonary metastases, and 37 were hepatic metastases. The mean time to the hepatic metastasectomy after primary surgery was 324.37±420.04. Among the hepatic metastases, one was located in the caudate lobe, 16 were located in the right lobe, and 20 were located in the left lobe. Thirty of the patients had received postoperative chemotherapy after liver metastasectomy. Twenty two of the patients who underwent liver metastasectomy (59%) had a recurrence. In 14 of these, (38%) the recurrence was in the liver. Overall survival of the patients with liver metastasectomy was 914.19±577.08 days. Survival after metastasectomy was 578.80±331.54 days. On the other hand, the mean time to pulmonary metastasectomy after primary surgery was 811.81±552.06 days. Eight of the lung metastases were located in the right lobe, whereas 3 were located in the left lobe. Three patients had concomittant metastases in the right upper and lower lobes, and one patient had additional liver metastasis. Eight of the patients who underwent pulmonary metastasectomy had received postoperative chemotherapy. Five of the patients who underwent pulmonary metastasectomy (45%) had a recurrence. Two of the patients had recurrence in the lung, while 3 had recurrence elsewhere. Overall survival of the patients who underwent pulmonary metastasectomy after initial surgery was 1341.54±816.21 days. Survival after metastasectomy was 528.81±365.45 days while recurrence-free survival after pulmonary metastasctomy was 342.18±125.71 days. Conclusion: This study suggests that patients with pulmonary metastasectomies have even beter clinical outcomes then hepatic metastasectomies in patients with metastatic coloercatla cencer. Every effort should be made to perform both pulmonary and hepatic metastasectomies in this group of patients. No significant financial relationships to disclose.

Coagulation and Fibrinolysis During and after Hepatic Lobectomy in 17 Patients

1975 ◽  
Author(s):  
J. Gonard ◽  
P. Morisot ◽  
C. Huguet ◽  
M. Samanta
Keyword(s):  
Antithrombin Iii ◽  
Hepatic Cyst ◽  
Left Lobe ◽  
Hepatic Lobectomy ◽  
Clotting Factors ◽  
Routine Administration ◽  
Medial Segment ◽  
Right Lobe ◽  
The Right ◽  
Atypical Resection

Hepatic lobectomy was performed in 17 patients for tumor (15 cases) or for hepatic cyst (2 cases). With regard to the hepatic lobes resected, there are 2 left lobectomies, 3 right, 9 right extended to the medial segment of the left lobe, 1 atypical resection of the right lobe and 1 of the left lobe, and 1 total hepatectomy followed by hepatic homotransplantation. In 9 patients, laparotomy showed that resection was not possible and they are used as controls.Blood samples were drawn every 30 minutes during operation, every day or every other day during the two post-operative weeks.Increased fibrinolytic activity and positive ethanol gelation tests are frequent but transient during surgery. However hemorragic problems are not encountered if hepatectomy is regulated. Routine administration of PPSB, antifibrinolytics or heparin does not seem to be required.Variations of clotting factors and antithrombin III are observed during the days following surgery.

scholarly journals Hepatocelularni karcinom udruzen sa ehinokoknom cistom jetre kao dijagnosticki problem

2014 ◽  
Vol 61 (4) ◽  
pp. 55-58
Author(s):  
Dragan Basaric ◽  
Miroslav Milicevic ◽  
Danijel Galun ◽  
Marinko Zuvela ◽  
Predrag Bulajic ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Preoperative Diagnosis ◽  
Correct Diagnosis ◽  
Hydatid Cysts ◽  
Simultaneous Treatment ◽  
Cystic Changes ◽  
Right Lobe ◽  
Malignant Liver ◽  
The Right ◽  
Malignant Liver Lesions

The presence of benign and/or malignant liver lesions is not easy to determine, especially differentiated. Preoperative diagnosis has to include more procedures for correlation of data in order to establish the correct diagnosis and proper treatment. The case of a 72-year-old female patient who was admitted because of the appearance of persistent dull pain under right rib cage. Ultrasound and CT findings verify the presence of two changes in the right liver, various radiographic characteristics. One change was good, other cystic. The presence of easily elevated tumor markers (AFP) in favor of hepatocellular carcinoma. The nature of other types of cystic changes was not clear. Intraoperatively and histologically confirmed to be a simultaneous presence of hepatocellular carcinoma and hydatid cysts in the right lobe of the liver. Surgical treatment is the only solution for the simultaneous treatment of both changes in the liver.

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