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A Journal on Surgery

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Chirurgia 2003 April;16(2):49-50

language: English

Surgical treatment of hepatic hydatid cysts

Busic Z., Lovric Z., Stipancic I., Busic D., Lovric L.


Aim. Hepatic echinococcosis as an endemic disease in the Mediterranean region is a serious problem, and since no effective parasiticide is known, it continues to be surgical problem. This study shows that radical surgical resection of the hepatic hydatid cysts with preopereative treatment with albendazole is a method of choice.
Methods. A retrospective study of 19 patients operated in a 3-year period in Dubrava University Hospital Zagreb due to hepatic echinococcosis was carried out. Among them, 14 patients have been preoperatively treated with albendazole. In 10 patients partial pericystectomy was performed, while in 9 patients total cystopericystectomy was done.
Results. With no mortality at all, in 1st group 2 postoperative recurrences and 1 peritonitis occurred, while in the 2nd group no postoperative complications were found at all after 1.5-3 year follow-up.
Conclusion. Regarding small groups of patients, we still consider total cystopericystectomy preceded by peroral albendazole as the method of choice and a safe treatment for hepatic hydatic cysts.

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