Surgical approaches to hepatic hydatidosis ranging from partial cystectomy to liver transplantation

Sanjay Goja; Sujeet Kumar Saha; Sanjay Kumar Yadav; Anisha Tiwari; Arvinder Singh Soin

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저자정보: Sanjay Goja (Medanta The Medicity) Sujeet Kumar Saha (Medanta The Medicity) Sanjay Kumar Yadav (Medanta The Medicity) Anisha Tiwari (Medanta The Medicity) Arvinder Singh Soin (Medanta The Medicity)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제22권 제3호

발행연도: 2018.8

수록면: 208 - 215 (8page)

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Backgrounds/Aims: A wide range of surgical approaches has been described for hepatic hydatidosis aiming primarily at the reduction of disease recurrence and minimization of postoperative morbidity. Methods: A database analysis of patients with liver hydatidosis who underwent different surgical procedures between March 2010 and May 2016 was performed. Results: A total of 21 patients with cystic echinococcosis (CE) and four cases of alveolar echinococcosis (AED) were detected. Nine patients manifested recurrent disease at presentation. Among CE cases, 5 underwent partial cystectomy (2 laparoscopic and 3 open), 9 cysto-pericystectomy (7 open and 2 robotic) and 7 hepatectomies (1 central, 4 right, 1 left and 1 right trisectionectomy). Living donor liver transplantation was performed in 3 patients with AED and the fourth patient underwent right trisectionectomy with en bloc resection of hepatic flexure and right diaphragm. Seven developed Clavien grade II and three grade III complications. The mean follow-up of CE was 34.19±19.75 months. One patient of laparoscopic partial cystectomy developed disease recurrence at 14 months. No recurrence was detected at a mean follow-up of 34±4.58 months following LDLT and at 24 months following multivisceral resection for AED. Conclusions: The whole spectrum of tailored surgical approaches ranging from minimally invasive to open and extended liver resections represents safe, effective and recurrence-free treatment of hepatic hydatidosis.

#Liver #Hydatid cyst #Robotic Liver transplantation

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