Surgical Treatment of Liver Echinococcosis — the Role of Laparoscopy
| Autor: | Domagoj Lemac, Mislav Čavka, Zeljko Busic, I Stipancić, K Martić, Vlatka Bušić |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Laparoscopic surgery Echinococcosis Hepatic medicine.medical_specialty Adolescent medicine.medical_treatment Albendazole Preoperative care Recurrence Preoperative Care parasitic diseases medicine Humans Cyst Prospective Studies Prospective cohort study Laparoscopy liver echinococcosis surgical treatment Aged Anthelmintics medicine.diagnostic_test business.industry General surgery General Medicine Length of Stay Middle Aged medicine.disease Echinococcosis Endoscopy Surgery Treatment Outcome Female business medicine.drug |
| Zdroj: | Acta Chirurgica Belgica. 106:688-691 |
| ISSN: | 0001-5458 |
| DOI: | 10.1080/00015458.2006.11679982 |
| Popis: | Background : The surgical approach to liver echinococcosis is still a controversial issue. This study shows our results of surgical treatment of liver hydatid cysts during a 5-year period. Methods : A prospective study of 21 patients operated on in a 5-year period (1999-2003), in Dubrava University Hospital in Zagreb, Croatia, with hepatic hydatid cyst. All patients were pre-operatively treated with albendazole. In 12 patients, total pericystectomy without opening the cyst cavity was performed, 9 open and 3 laparoscopic. In the other 9 patients, partial pericystectomy was done, 6 open and 3 laparoscopic. Results : There was no mortality after 5-65 months follow-up, but in 1 patient, in the open partial pericystectomy group, recurrence of the disease occurred after 3 years. When a laparoscopic procedure was done, there were no complications or recurrence. The median operative duration for open surgery was 100.0 min (range 60.0-210.0), and for laparoscopic surgery 67.5 min (range 60.0-120.0). The median length of hospitalisation for open surgery was 8.0 days (range 7.0- 14.0), and for laparoscopic surgery 5.0 days (range 4.0-7.0). Conclusion : Total pericystectomy without opening the cyst cavity, preceded by pre-operative albendazole therapy is the method of choice for hepatic hydatid cyst treatment. Despite the small group of patients, our first results show laparo- scopic total pericystectomy without opening the cyst cavity, in the treatment of hepatic hydatid cyst, as a good alterna- tive to open surgery in selected patients. |
| Databáze: | OpenAIRE |
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