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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 1999 June;12(3):217-22
Multiple liver and pulmonary hydatidosis. Description of two cases treated with surgical and medical therapy
Piccolboni D., Cuccurullo D., Di Domenico M. G., Fusco F., Settembre A., Sessa R., De Matteis V. A.
Two consecutive cases of multiple complex hydatidosis, with bilobar liver and unilateral lung localizations are presented.These were treated surgically in two subsequent operative procedures, by a semi-radical technique and under medical covering with albendazole. The treatment was started three weeks before the abdominal procedure and continued through the second operative time and for three weeks thereafter, in order to prevent relapse of the parasitic infection. The different therapeutic options for multiple hydatidosis ar discussed, pointing out the advantages and drawbacks of radical surgical therapy, of conservative surgery and of percutaneous ultrasound guided approach, referring to the most updated literature on this topic. According to personal opinion, radical surgery, in two times,represents the gold standard, notwwithstanding the risks of liver and pulmonary surgery, as compared to the benignity of the disease. Conservative surgery and percutaneous therapies entail high risks of relapse ( 6-10%) and of hardly manageable biliary fistulas ( 3-25%).