Management of Liver Hydatid Cysts - Current Perspectives

Overview

Journal Med J Armed Forces India

Specialty General Medicine

Date 2014 Feb 18

PMID 24532894

Citations 6

Authors

S Anand

S Rajagopalan

Raj Mohan

Affiliations

Soon will be listed here.

Abstract

Human hydatid disease or cystic echinococcosis (CE), caused by the larval form of cestode Echinococcus granulosus still continues to a common problem in health care environments as different as Europe/North America and resource poor countries of the South America and the East. The Liver is the most frequently parasatized organ in humans. While ultrasonography remains the main diagnostic tool, computed tomography and serology improve the accuracy of diagnosis in Liver hydatid cysts (LHC). Although surgery is the only modality applicable over the entire spectrum of the disease, systemic chemotherapy and percutaneous drainage have evolved as alternative therapies in the last three decades. Various laparoscopic techniques have also been described for safe and optimal management of this entity. In this paper, we review the current management procedures of LHC with particular emphasis on the evidence base and setting specific problems.

Citing Articles

Reaching the Challenging Diagnosis of Complicated Liver Hydatid Disease: A Single Institution's Experience from an Endemic Area.

Christodoulidis G, Samara A, Diamantis A, Floros T, Sgantzou I, Karakantas K Medicina (Kaunas). 2021; 57(11).

PMID: 34833428 PMC: 8620203. DOI: 10.3390/medicina57111210.

Single-centre experience in treatment of multiple-site hydatid disease in a tertiary care centre of Eastern India.

Gandhi S, Das B, Basu R, Dey S Indian J Thorac Cardiovasc Surg. 2020; 35(3):461-467.

PMID: 33061031 PMC: 7525719. DOI: 10.1007/s12055-018-0743-y.

The Use of Probiotic Therapy to Modulate the Gut Microbiota and Dendritic Cell Responses in Inflammatory Bowel Diseases.

Alagon Fernandez Del Campo P, De Orta Pando A, Straface J, Lopez Vega J, Toledo Plata D, Niezen Lugo S Med Sci (Basel). 2019; 7(2).

PMID: 30813381 PMC: 6410300. DOI: 10.3390/medsci7020033.

Liver hydatid cyst with cystobiliary communication: Laparoscopic surgery remains an effective option.

Chopra N, Gupta V, Kumar S, Joshi P, Gupta V, Chandra A J Minim Access Surg. 2017; 14(3):230-235.

PMID: 28928333 PMC: 6001293. DOI: 10.4103/jmas.JMAS_81_17.

Clinical-pathological conference series from the Medical University of Graz: case no. 151: 19-year-old student from Albania with emergency admission due to shock.

Fabian E, Madl C, Horn S, Kornprat P, Maderthaner R, Aigelsreiter A Wien Klin Wochenschr. 2014; 127(3-4):151-9.

PMID: 25471000 DOI: 10.1007/s00508-014-0636-z.

References

Junghanss T, Menezes da Silva A, Horton J, Chiodini P, Brunetti E . Clinical management of cystic echinococcosis: state of the art, problems, and perspectives. Am J Trop Med Hyg. 2008; 79(3):301-11. View

Belghiti J, Benhamou J, Houry S, Grenier P, Huguier M, Fekete F . Caustic sclerosing cholangitis. A complication of the surgical treatment of hydatid disease of the liver. Arch Surg. 1986; 121(10):1162-5. DOI: 10.1001/archsurg.1986.01400100070014. View

Yaghan R, Heis H, Bani-Hani K, Matalka I, Shatanawi N, Gharaibeh K . Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst?. Am J Surg. 2004; 187(4):533-7. DOI: 10.1016/j.amjsurg.2003.12.046. View

Opatrny L, Prichard R, Snell L, MacLean J . Death related to albendazole-induced pancytopenia: case report and review. Am J Trop Med Hyg. 2005; 72(3):291-4. View

Rodriguez-Caabeiro F, Prieto J, Sanchez-Ruano J, Brasa C, Aguilar L, Garcia-Hoz F . Randomised controlled trial of efficacy of albendazole in intra-abdominal hydatid disease. Lancet. 1993; 342(8882):1269-72. DOI: 10.1016/0140-6736(93)92361-v. View

Taylor B, Langer B . Current surgical management of hepatic cyst disease. Adv Surg. 1997; 31:127-48. View

Mueller P, Dawson S, Ferrucci Jr J, Nardi G . Hepatic echinococcal cyst: successful percutaneous drainage. Radiology. 1985; 155(3):627-8. DOI: 10.1148/radiology.155.3.3890001. View

Settaf A, Bargach S, Aghzadi R, Lahlou M, Oudghiri M . [Treatment of cystobiliary fistula of hydatid cyst of the liver. Apropos of 33 cases]. J Chir (Paris). 1991; 128(3):133-8. View

. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop. 2003; 85(2):253-61. DOI: 10.1016/s0001-706x(02)00223-1. View

10.

Kabaalioglu A, Ceken K, Alimoglu E, Apaydin A . Percutaneous imaging-guided treatment of hydatid liver cysts: do long-term results make it a first choice?. Eur J Radiol. 2006; 59(1):65-73. DOI: 10.1016/j.ejrad.2006.01.014. View

11.

de Diego Choliz J, Lecumberri Olaverri F, Franquet Casas T, Zubieta S . Computed tomography in hepatic echinococcosis. AJR Am J Roentgenol. 1982; 139(4):699-702. DOI: 10.2214/ajr.139.4.699. View

12.

Khuroo M, Dar M, Yattoo G, Zargar S, Javaid G, Khan B . Percutaneous drainage versus albendazole therapy in hepatic hydatidosis: a prospective, randomized study. Gastroenterology. 1993; 104(5):1452-9. DOI: 10.1016/0016-5085(93)90355-g. View

13.

Vaquerizo A, Sola J, Bondia A, Opla J, Madariaga M . [Intraoperative hydatid anaphylactic shock]. Rev Esp Anestesiol Reanim. 1994; 41(2):113-6. View

14.

Manterola C, Fernandez O, Munoz S, Vial M, Losada H, Carrasco R . Laparoscopic pericystectomy for liver hydatid cysts. Surg Endosc. 2002; 16(3):521-4. DOI: 10.1007/s00464-001-8125-7. View

15.

Malik A, Bari S, Amin R, Jan M . Surgical management of complicated hydatid cysts of the liver. World J Gastrointest Surg. 2010; 2(3):78-84. PMC: 2999219. DOI: 10.4240/wjgs.v2.i3.78. View

16.

Kammerer W, Schantz P . Echinococcal disease. Infect Dis Clin North Am. 1993; 7(3):605-18. View

17.

Palanivelu C, Jani K, Malladi V, Senthilkumar R, Rajan P, Sendhilkumar K . Laparoscopic management of hepatic hydatid disease. JSLS. 2006; 10(1):56-62. PMC: 3015664. View

18.

Davis A, Dixon H, Pawlowski Z . Multicentre clinical trials of benzimidazole-carbamates in human cystic echinococcosis (phase 2). Bull World Health Organ. 1989; 67(5):503-8. PMC: 2491290. View

19.

Filice C, Pirola F, Brunetti E, Dughetti S, Strosselli M, FOGLIENI C . A new therapeutic approach for hydatid liver cysts. Aspiration and alcohol injection under sonographic guidance. Gastroenterology. 1990; 98(5 Pt 1):1366-8. DOI: 10.1016/0016-5085(90)90358-8. View

20.

Saglam A . Laparoscopic treatment of liver hydatid cysts. Surg Laparosc Endosc. 1996; 6(1):16-21. View