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CURRENT ISSUECHIRURGIA

A Journal on Surgery


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Chirurgia 2007 June;20(3):165-9

language: English

Liver hydatidosis surgically eligible: therapeutical options and the problems of long lasting latence

Russo A.

U.O. Pronto Soccorso Chirurgico A.S.L. ROMA G Presidio Ospedaliero “Leopoldo Parodi Delfino”, Roma


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Hydatid disease is a parasitism with endemic areas in Countries facing the Mediterranean. Italy results at the middle-high risk, for the significative prevalence of the disease in Sicily and Sardinia and in the South of Italy. Liver represents the preferred localization of echinococcus (50-70 %). Surgery remains the elective approach to this kind of infection, offering: the isolation of infected area; drainage or ablation of the cysts; the treatment either of the possible simultaneous complications (such as biliary fistulas, transthoracic transit), or of the residual cavity. Radical resection, in spite of mortality (4%) and morbidity (23%), however resulting lower than parameters of conservative surgery (10 and 30% respectively), are more and more preferred, offering the complete removal of the cysts, with no risks of relapse (vs 20% of non aggressive demolitions).

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