Home > Journals > Chirurgia > Past Issues > Chirurgia 1999 June;12(3) > Chirurgia 1999 June;12(3):217-22

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

CLINICAL REPORTS   

Chirurgia 1999 June;12(3):217-22

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

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.


PDF


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%).

top of page