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Hydatid Disease of the Liver. Diagnosis and Surgical Treatment

A series of 155 cases of hepatic hydatid disease, occurring in 121 patients, were operated on at the Naval and Veterans Hospital of Athens. Ultrasonography and computerized axial tomography provided the preoperative diagnosis in 89 and 93 percent of the cases respectively in recent years. Thirty one...

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Autores principales: Xynos, Evaghelos, Pechlivanides, George, Tzortzinis, Anastasios, Papageorgiou, Antonis, Vassilakis, John S.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 1991
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423624/
https://www.ncbi.nlm.nih.gov/pubmed/1911478
http://dx.doi.org/10.1155/1991/45101
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author Xynos, Evaghelos
Pechlivanides, George
Tzortzinis, Anastasios
Papageorgiou, Antonis
Vassilakis, John S.
author_facet Xynos, Evaghelos
Pechlivanides, George
Tzortzinis, Anastasios
Papageorgiou, Antonis
Vassilakis, John S.
author_sort Xynos, Evaghelos
collection PubMed
description A series of 155 cases of hepatic hydatid disease, occurring in 121 patients, were operated on at the Naval and Veterans Hospital of Athens. Ultrasonography and computerized axial tomography provided the preoperative diagnosis in 89 and 93 percent of the cases respectively in recent years. Thirty one percent of the cases presented with complications, the commonest of these being infection of the cyst (10 percent) and rupture of the cyst into the bile ducts (17 percent). Total cystectomy was performed in three cases and removal of the endocyst with its content in the remaining 152. The remaining cavity was either externally drained (57 cases), or filled with omentum (omentoplasty — 95 cases). External fistula and infection of the residual cavity occurred in 32 and 56 percent after simple drainage and in 4 and 2 percent respectively after omentoplasty. Differences are statistically significant (p < 0.001). Hospitalization was also significantly longer after drainage than after omentoplasty (p < 0.01). Obstructive jaundice after intrabiliary rupture of the cyst was more successfully managed after additional choledochoduodenostomy than after simple drainage of the common bile duct. Intrapericoneal recurrence of hydatid disease occurred in two cases. The conclusion of the present study is, that ultrasonography and computerized axial tomography provide an acceptable rate in the diagnosis and that omentoplasty offers a very low complication rate in the management of hydatid cystic disease of the liver.
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spelling pubmed-24236242008-07-08 Hydatid Disease of the Liver. Diagnosis and Surgical Treatment Xynos, Evaghelos Pechlivanides, George Tzortzinis, Anastasios Papageorgiou, Antonis Vassilakis, John S. HPB Surg Research Article A series of 155 cases of hepatic hydatid disease, occurring in 121 patients, were operated on at the Naval and Veterans Hospital of Athens. Ultrasonography and computerized axial tomography provided the preoperative diagnosis in 89 and 93 percent of the cases respectively in recent years. Thirty one percent of the cases presented with complications, the commonest of these being infection of the cyst (10 percent) and rupture of the cyst into the bile ducts (17 percent). Total cystectomy was performed in three cases and removal of the endocyst with its content in the remaining 152. The remaining cavity was either externally drained (57 cases), or filled with omentum (omentoplasty — 95 cases). External fistula and infection of the residual cavity occurred in 32 and 56 percent after simple drainage and in 4 and 2 percent respectively after omentoplasty. Differences are statistically significant (p < 0.001). Hospitalization was also significantly longer after drainage than after omentoplasty (p < 0.01). Obstructive jaundice after intrabiliary rupture of the cyst was more successfully managed after additional choledochoduodenostomy than after simple drainage of the common bile duct. Intrapericoneal recurrence of hydatid disease occurred in two cases. The conclusion of the present study is, that ultrasonography and computerized axial tomography provide an acceptable rate in the diagnosis and that omentoplasty offers a very low complication rate in the management of hydatid cystic disease of the liver. Hindawi Publishing Corporation 1991 /pmc/articles/PMC2423624/ /pubmed/1911478 http://dx.doi.org/10.1155/1991/45101 Text en Copyright © 1991 Hindawi Publishing Corporation. http://creativecommons.org/licenses/by/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Xynos, Evaghelos
Pechlivanides, George
Tzortzinis, Anastasios
Papageorgiou, Antonis
Vassilakis, John S.
Hydatid Disease of the Liver. Diagnosis and Surgical Treatment
title Hydatid Disease of the Liver. Diagnosis and Surgical Treatment
title_full Hydatid Disease of the Liver. Diagnosis and Surgical Treatment
title_fullStr Hydatid Disease of the Liver. Diagnosis and Surgical Treatment
title_full_unstemmed Hydatid Disease of the Liver. Diagnosis and Surgical Treatment
title_short Hydatid Disease of the Liver. Diagnosis and Surgical Treatment
title_sort hydatid disease of the liver. diagnosis and surgical treatment
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423624/
https://www.ncbi.nlm.nih.gov/pubmed/1911478
http://dx.doi.org/10.1155/1991/45101
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