Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Article



Role of Surgery and Minimally Invasive Approach in Multi-Organ Localization of Cystic Echinococcosis

Andrea Cariati, Mario Taviani, Rosario Michele Lo Casto, Nicola Morelli, Elisa Piromalli, Erminio Cariati.

Abstract
Background. Echinococcosis is a zoonosis caused by the Echinococcus adult or larvae tapeworms. Surgery has been the mainstay for large cysts, those that are likely to rupture, or infected, or exerting an important mass effect, but it has been said to be impractical in patients with multiple cysts in several organs. The aim of this study is to report our strategy for the surgical resection or for the drainage of large (> 5 cm) and/or complicated liver and multi-organ hydatid cysts.
Methods. From 1992 to 2012, 13 patients have been evaluated for open surgery or a minimally invasive approach for cystic echinococcosis. After Albendazole administration, liver cysts have been treated by pericystectomy in nine cases, partial pericystectomy in three cases, and in one case we preferred to consider the percutaneous drainage. In case of multiple extra-abdominal organ localization, we first treated the liver localizations.
Results. There has not been operative or post-operative mortality. Follow-up has been done for 110 years and has revealed no recurrence.
Conclusion. Surgery could have satisfactory results among patients with single and multiple large (> 5 cm) cysts in multiple organs. In case of recurrence, adhesion to the inferior cava vein or when general conditions are poor, the percutaneous intracystic injection of 90% ethanol followed by the cyst drainage (PAIR) is strongly recommended.

Key words: Echinococcus Granulosus, liver echinococcosis, lung echinoccosis, liver surgery, percutaneous treatment



Share this Article


Advertisement
American Journal of Research in Medical Sciences

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons