scholarly journals Radical Surgery for Liver Hydatid Cyst

Author(s):  
Hadj Omar El Malki ◽  
Amine Souadka ◽  
Badr Serji ◽  
Amine Benkabbou ◽  
Raouf Mohsine ◽  
...  

Background and aims: Surgery is the basic treatment for liver hydatid cyst (LHC). Radical procedures (pericystectomy (PK) and hepatic resection (HR)) offers better results in selected cases cases than conservative approaches. Aims of this study were to evaluate the results of Radical surgery for LHC and and to determine witch of these two procedures is safe in experienced hepato-biliary surgical unit in endemic countries. Methods: A retrospective cohort study of 143 patients with liver hydatid cyst who underwent radical procedures at a single surgical department in an endemic country were reviewed. Mortality, morbidity and recurrence rates have been analyzed. Results: Thirty-two patients (22.4%) had a HR and 111 patients (77.6%) had a PK. Mortality rate was 1.4% (n=2) in HR group. Overall morbidity rate was 18.9% and vs 28.1% respectively in PK and HR group (p=.26). Postoperative bleeding occurred in 1.8% in PK group vs 3.1% in HR group (p=.535) and specific LHC operative complication occurred in 17.1% in PK group vs 28.1% in HR group (p=.167). Recurrence rate of LHC was 6.3% in PK group vs 6.6% in HR group (p=.999) after a median follow up of 108 months (54-144) vs 89 months (44-135) respectively. Conclusion: Radical surgery for LHC is safe. Each of PK and HR had a specific indication. A good screening of patient's guarantied a good outcome. Keywords: Liver, Hydatid Cyst, Morocco, Radical Surgery.

1967 ◽  
Vol 53 (6) ◽  
pp. 591-600
Author(s):  
Bruno Salvadori ◽  
Giangaspare Valentinis ◽  
Lorenzo Zingo

Ninety-one cases of tumors of anus and anal canal, treated in the Surgical Department of the National Cancer Institute of Milan from 1930 to 1965, are discussed. The series consists of 56 females and 35 males; the age of the patients ranges from 31 to 84 years. The distribution of the cases in relation to the age of the patients shows that the highest frequency of tumors was observed in the group of patients of 61–70 years. Twenty-seven patients presented inguinal metastatic nodes; in 18 of them metastases were bilateral. Nineteen patients (20.19 %) presented advanced tumors and could not be radically treated; 33 (36.3 %) underwent radiological treatment; 37 (40.6 %) were amenable to radical surgery: of these, in 26 a perineal resection and in 10 cases an abdomino-perineal resection were performed. In 2 of the last 10 cases a pelvic lymphadenectomy was also performed; in 5 of the patients radically operated a dissection of inguinal nodes was done. A regular follow-up was possible for 29 of the 37 patients radically treated: the 5 years survival rate for the two groups, perineal and abdomino-perineal resection, was of 48 per cent and 50 per cent respectively.


HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S169
Author(s):  
P. Tasar ◽  
K. Senol ◽  
I. Tirnova ◽  
B. Bakar ◽  
E. Kaya ◽  
...  

2021 ◽  
Author(s):  
Amirhossein Erfani ◽  
Reza shahriarirad ◽  
Mehrdad Eskandarisani ◽  
Mohammad Rastegarian ◽  
Bahador Sarkari

Abstract Background: The current study aimed to evaluate the therapeutic features and complications of liver hydatid cyst in patients who underwent surgery for CE in Fars province, southern Iran.Methods: A total of 293 patients who underwent surgery for liver hydatid cyst from 2004 to 2018 in Fars Province, southern Iran, were retrospectively evaluated. The clinical records of patients were reviewed and the demographic and clinical characteristics of each patient were assessed.Results: Of the total of 293 cases, 178 (60.9%) were females and 115 (39.1%) were males. The mean age of the subjects was 37.22 (±20.55) years. The mean size of the liver hydatid cyst was 9.18 (± 4.365). Of the 293 patients studied, 227 (77.4%) had hydatid cysts only in the liver, while 55 (9.4%) had both liver and lung cysts. More than half of the liver cysts (65.9%) were located in the right portion of the liver (segment 5 to 8). Of the 293 cases, 52 (17.7%) underwent radical surgery while 241 (82.3%) underwent conservative surgery. Recurrence of hydatid cyst was recorded in 46 (15%) of cases. Patients who were treated with radical surgery in comparison with those who had conservative surgery had a lower recurrence rate but a longer duration of hospital stay (p<0.05). Conclusion: Recurrence remains as one of the major challenges in the management of hydatid cyst. Radical surgery reduces the chance of recurrence, although this procedure increases the length of hospital stay.This study was registered at Clinicaltrials.gov with registration ID of NCT04363151. https://clinicaltrials.gov/ct2/show/NCT04363151?cntry=IR&city=Shiraz&draw=2&rank=1


HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S863
Author(s):  
J.J. Rubio García ◽  
G.P. Rodríguez Laiz ◽  
C.F. Alcázar López ◽  
P. Melgar Requena ◽  
C. Villodre Tudela ◽  
...  

Author(s):  
Sedighe HOSSEINI SHABANAN ◽  
Seyed Habibollah DASHTI ◽  
Mehrshad ABBASI ◽  
Ali JAFARIAN ◽  
Amirpasha EBRAHIMI ◽  
...  

Background: The outcome and complications of liver hydatid cyst surgeries with new and old techniques are not well determined. We intended to present the results of operations done for patients with hepatic hydatid cyst in an endemic area. Methods: Data of 112 patients referred and operated for liver hydatid cyst, in Imam Khomeini Hospital complex, Tehran, Iran, from 2015 to 2018, were collected including demographic characteristics, operation parameters and complication related statistics. The variables were presented for different surgical methods including operations with and without omentoplasty. Results: Patients aged 39. 3 ± 13. 9 yr (70 females; 63. 5%). Most frequent clinical complaint was vague abdominal pain (n=45; 40. 2%). The most prevalent comorbidity was hypertension (18; 16.0%). Conservative methods were chosen more frequently including omentoplasty (44; 39. 3%), cyst drainage (27; 24. 1%), cyst resection (19; 17%) and marsupialization (3; 2. 7%). Overall, 56 patients (50%) were operated with omentoplasty as the single method or in combination with segmentectomy. Complications occurred less in patients operated with omentoplasty (41. 1 vs. 23. 2%; P=0. 043); particularly, biloma was more frequent in surgeries without omentoplasty (7. 1 vs 0. 0%; P=0. 042). Persistence and recurrence rates were 12. 5% and 3. 6% with relative predilection in, respectively, segmentectomy and lobectomy surgical methods compared to Omentoplasty. No mortality was recorded. Conclusion: In our case series of hepatic hydatid cyst patients, omentoplasty was safe with less complication and similar long-term recurrence rate.


2019 ◽  
Vol 6 (8) ◽  
pp. 2736
Author(s):  
Akram N. Dahel ◽  
Labeed Saadallah Abdulkareem

Background: Hydatid disease is endemic in the Mediterranean region, the Middle East and South America. The aim of the study was to follow up the fate of residual liver hydatid cysts cavities after surgery.Methods: From the period of April 2014 to April 2017 a prospective study was conducted on sixty patients who were admitted to Fallujah Teaching Hospital for surgery of hydatid cyst of the liver. There were 36 female and 24 male patients who were followed up by serial abdominal ultrasound examinations at three monthly intervals for a period of up to two year.Results: Complete involution of the hydatid cavities occurs more in those treated by omentoplasty and simple closure and complications are lower than those treated by external drainage.Conclusions: Characteristics of liver hydatid cyst and the type of surgical treatment can be considered as a determinant of postoperative cavity related complication.


2011 ◽  
pp. 114-118
Author(s):  
Nhu Hiep Pham ◽  
Huu Thien Ho ◽  
Anh Vu Pham ◽  
Van Nghia Tran

Objectives: Laparoscopic appendectomy (LA) is becoming popular for the treatment of acute appendicitis. Since it was the first described, LA has been modified various times. We present the results of a new technique of LA conducted through a single port. Materials and methods: From March 2011 to November 2011, we have performed 28 operations Single Port Laparoscopic Appendectomy at the Surgical Department of Hue Central Hospital. Results: There were 28 patients, 57.1% were female, 42.9% were male, rate female/male was 1.3. The mean age is 36.4. The second port insertion was required in 2 patients (7.2%). Mean operation time was 44.6 minutes and postoperative hospital stay 3-5 days took 71.4%. Postoperative compications occurred in 1 case (3.6%) was of omphalitis. During 2-4 weeks follow up no problem related to the appendectomy have been reported. Conclusions: Single - port intracorporeal appendectomy procedure is a safe, minimal invasive procedure with excellent cosmetic results.


Sign in / Sign up

Export Citation Format

Share Document