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19.01.2021 | Review Article

The Current Protocols in the Management of Hepatic Hydatid Disease

verfasst von: S. Regmee, D. K. Maharjan, P. B. Thapa

Erschienen in: Indian Journal of Surgery | Sonderheft 4/2021

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Abstract

Hepatic hydatid cyst has different clinical presentations; its management is done by various modalities. This article reviews the etiology of the disease and its classification and diagnostic modalities. The medical, minimal invasive and surgical approach of its treatment, possible complications, and the management of such complications are discussed from a surgeon’s perspective.
Literatur
1.
Zurück zum Zitat Sayek I, Tirnaksiz M, Dogan R (2004) Cystic hydatid disease: current trends in diagnosis and management. Surg Today 34(12):987–996PubMedCrossRef Sayek I, Tirnaksiz M, Dogan R (2004) Cystic hydatid disease: current trends in diagnosis and management. Surg Today 34(12):987–996PubMedCrossRef
2.
Zurück zum Zitat Buttenschoen K, Carli Buttenschoen D (2003) Echinococcus granulosus infection: the challenge of surgical treatment. Langenbeck's Arch Surg 388(4):218–230CrossRef Buttenschoen K, Carli Buttenschoen D (2003) Echinococcus granulosus infection: the challenge of surgical treatment. Langenbeck's Arch Surg 388(4):218–230CrossRef
3.
Zurück zum Zitat Ok E, Sozuer EM (2000) Solitary subcutaneous hydatid cyst: a case report. Am J Trop Med Hyg 62(5):583–584PubMedCrossRef Ok E, Sozuer EM (2000) Solitary subcutaneous hydatid cyst: a case report. Am J Trop Med Hyg 62(5):583–584PubMedCrossRef
4.
Zurück zum Zitat Yesilkaya Y, Sozuer EM, Sen M, Saglam A (1990) Tiroit kist hidatigi. Erciyes Tıp Dergisi 12:309–313 Yesilkaya Y, Sozuer EM, Sen M, Saglam A (1990) Tiroit kist hidatigi. Erciyes Tıp Dergisi 12:309–313
5.
Zurück zum Zitat Sozuer EM, Gulmez I, Akgun E, Pekru I, Baskan S (1990) Primerbobrek kist hidati¨ gi. Ege Tıp Dergisi 29:1086–1088 Sozuer EM, Gulmez I, Akgun E, Pekru I, Baskan S (1990) Primerbobrek kist hidati¨ gi. Ege Tıp Dergisi 29:1086–1088
6.
Zurück zum Zitat Smego RA Jr, Sebanego P (2005) Treatment options for hepatic cystic echinococcosis. Int J Infect Dis 9(2):69–76PubMedCrossRef Smego RA Jr, Sebanego P (2005) Treatment options for hepatic cystic echinococcosis. Int J Infect Dis 9(2):69–76PubMedCrossRef
9.
Zurück zum Zitat Tagliacozzo S, Miccini M, Amore Bonapasta S, Gregori M, Tocchi A (2011) Surgical treatment of hydatid disease of the liver: 25 years of experience. Am J Surg 201(6):797–804PubMedCrossRef Tagliacozzo S, Miccini M, Amore Bonapasta S, Gregori M, Tocchi A (2011) Surgical treatment of hydatid disease of the liver: 25 years of experience. Am J Surg 201(6):797–804PubMedCrossRef
10.
Zurück zum Zitat Cirenei A, Bertoldi I (2001) Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg 25(1):87–92PubMedCrossRef Cirenei A, Bertoldi I (2001) Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg 25(1):87–92PubMedCrossRef
11.
Zurück zum Zitat Akcan A, Sozuer E, Akyildiz H, Ozturk A, Atalay A, Yilmaz Z (2010) Predisposing factors and surgical outcome of complicated liver hydatid cysts. World J Gastroenterol 16(24):3040–3048PubMedPubMedCentralCrossRef Akcan A, Sozuer E, Akyildiz H, Ozturk A, Atalay A, Yilmaz Z (2010) Predisposing factors and surgical outcome of complicated liver hydatid cysts. World J Gastroenterol 16(24):3040–3048PubMedPubMedCentralCrossRef
13.
Zurück zum Zitat WHO Informal Working Group (2003) International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 85:253261 WHO Informal Working Group (2003) International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop 85:253­261
16.
Zurück zum Zitat Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS (2000) Hydatid disease: radiologic and pathologic features and complications. Radiographics 20:795–817PubMedCrossRef Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS (2000) Hydatid disease: radiologic and pathologic features and complications. Radiographics 20:795–817PubMedCrossRef
17.
Zurück zum Zitat Lim JH (2008) Parasitic diseases in the abdomen: imaging findings. Abdom Imaging 33:130–132PubMedCrossRef Lim JH (2008) Parasitic diseases in the abdomen: imaging findings. Abdom Imaging 33:130–132PubMedCrossRef
18.
Zurück zum Zitat Filippou D, Tselepis D, Filippou G, Papadopoulos V (2007) Advances in liver echinococcosis: diagnosis and treatment. Clin Gastroenterol Hepatol 5:152–159PubMedCrossRef Filippou D, Tselepis D, Filippou G, Papadopoulos V (2007) Advances in liver echinococcosis: diagnosis and treatment. Clin Gastroenterol Hepatol 5:152–159PubMedCrossRef
19.
Zurück zum Zitat Coskum A, Ozturk M, Karahan OI, Erdogan N, Isin S, Gulec M (2004) Alveolar echinococcosis of the liver: correlative color Doppler US, CT, and MRI study. Acta Radiol 45:492–498CrossRef Coskum A, Ozturk M, Karahan OI, Erdogan N, Isin S, Gulec M (2004) Alveolar echinococcosis of the liver: correlative color Doppler US, CT, and MRI study. Acta Radiol 45:492–498CrossRef
24.
Zurück zum Zitat Davis A, Pawlowski ZS, Dixon H (1986) Multicentre clinical trials of benzimidazole carbamates in human echinococcosis. Bull World Health Organ 64:383–388PubMedPubMedCentral Davis A, Pawlowski ZS, Dixon H (1986) Multicentre clinical trials of benzimidazole carbamates in human echinococcosis. Bull World Health Organ 64:383–388PubMedPubMedCentral
28.
Zurück zum Zitat Horton RJ (1989) Chemotherapy of Echinococcus infection in man with albendazole. Trans R Soc Trop Med Hyg 83:97–102PubMedCrossRef Horton RJ (1989) Chemotherapy of Echinococcus infection in man with albendazole. Trans R Soc Trop Med Hyg 83:97–102PubMedCrossRef
29.
Zurück zum Zitat Gomez I, Gavara C, López-Andújar R, Belda Ibáñez T, Ramia Ángel JM, Moya Herraiz Á, Orbis Castellanos F, Pareja Ibars E, San Juan Rodríguez F (2015) Review of the treatment of liver hydatid cysts. World J Gastroenterol 21:124–131CrossRef Gomez I, Gavara C, López-Andújar R, Belda Ibáñez T, Ramia Ángel JM, Moya Herraiz Á, Orbis Castellanos F, Pareja Ibars E, San Juan Rodríguez F (2015) Review of the treatment of liver hydatid cysts. World J Gastroenterol 21:124–131CrossRef
30.
Zurück zum Zitat Davis A, Dixon H, Pawlowski ZS (1989) Multicentre clinical trials of benzimidazole-carbamates in human cystic echinococcosis (phase 2). Bull World Health Organ 67:503–508PubMedPubMedCentral Davis A, Dixon H, Pawlowski ZS (1989) Multicentre clinical trials of benzimidazole-carbamates in human cystic echinococcosis (phase 2). Bull World Health Organ 67:503–508PubMedPubMedCentral
32.
Zurück zum Zitat Mottaghian H, Saidi F (1978) Postoperative recurrence of hydatid disease. Br J Surg 65:37–42 Mottaghian H, Saidi F (1978) Postoperative recurrence of hydatid disease. Br J Surg 65:37–42
33.
Zurück zum Zitat Morris DL (1989) Albendazole treatment of hydatid disease – follow up at 5 years. Trop Dr 19:179–180 Morris DL (1989) Albendazole treatment of hydatid disease – follow up at 5 years. Trop Dr 19:179–180
34.
Zurück zum Zitat Little JM, Hollands MT, Eckberg H (1988) Recurrence of hydatid disease. World J Surg 12:700–704PubMedCrossRef Little JM, Hollands MT, Eckberg H (1988) Recurrence of hydatid disease. World J Surg 12:700–704PubMedCrossRef
35.
Zurück zum Zitat Bari SU, Naqash MM, Ajaz A (2016) Malik. outcome of albendazole therapy in the management of hepatic hydatid disease. Int J Res Med Sci 4(8):3549–3553CrossRef Bari SU, Naqash MM, Ajaz A (2016) Malik. outcome of albendazole therapy in the management of hepatic hydatid disease. Int J Res Med Sci 4(8):3549–3553CrossRef
39.
Zurück zum Zitat Smith AL, Rego LP, Williams R (1997) Albendazole monitoring. Am J Health Syst Pharm 54:319–320PubMedCrossRef Smith AL, Rego LP, Williams R (1997) Albendazole monitoring. Am J Health Syst Pharm 54:319–320PubMedCrossRef
40.
Zurück zum Zitat Mueller PR, Dawson SL, Ferrucci JT, Nardi GL (1985) Hepatic echinococcal cyst: successful percutaneous drainage. Radiology 155:627–628PubMedCrossRef Mueller PR, Dawson SL, Ferrucci JT, Nardi GL (1985) Hepatic echinococcal cyst: successful percutaneous drainage. Radiology 155:627–628PubMedCrossRef
41.
Zurück zum Zitat Brunetti E, Kern P, Vuitton DA (2010) Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 114(1):1–16PubMedCrossRef Brunetti E, Kern P, Vuitton DA (2010) Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 114(1):1–16PubMedCrossRef
42.
Zurück zum Zitat Smego RA Jr, Bhatti S, Khaliq AA, Beg MA (2003) Percutaneous aspiration-injection-respiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis 37:1073–1083PubMedCrossRef Smego RA Jr, Bhatti S, Khaliq AA, Beg MA (2003) Percutaneous aspiration-injection-respiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis 37:1073–1083PubMedCrossRef
45.
Zurück zum Zitat Angelica MD, Fong Y (2007) The liver. In: Sabiston textbook of surgery, 18th edn. Saunders, pp 1494–1496 Angelica MD, Fong Y (2007) The liver. In: Sabiston textbook of surgery, 18th edn. Saunders, pp 1494–1496
46.
Zurück zum Zitat Alonso Casado O, Moreno González E, Loinaz Segurola C, Gimeno Calvo A, González Pinto I, Pérez Saborido B, Paseiro Crespo G, Ortiz Johansson C (2001) Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepatogastroenterology 48:235–243PubMed Alonso Casado O, Moreno González E, Loinaz Segurola C, Gimeno Calvo A, González Pinto I, Pérez Saborido B, Paseiro Crespo G, Ortiz Johansson C (2001) Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepatogastroenterology 48:235–243PubMed
47.
Zurück zum Zitat Christians KK, Pitt HA (2007) Hepatic abscess and cystic disease of the liver. In: Maingots abdominal operations, 11th edn. McGraw Hill, pp 768–774 Christians KK, Pitt HA (2007) Hepatic abscess and cystic disease of the liver. In: Maingots abdominal operations, 11th edn. McGraw Hill, pp 768–774
48.
Zurück zum Zitat Agarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK (2005) Bile leaks following surgery for hepatic hydatid disease. Indian J Gastroenterol 24:55–58PubMed Agarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK (2005) Bile leaks following surgery for hepatic hydatid disease. Indian J Gastroenterol 24:55–58PubMed
50.
Zurück zum Zitat Bülbüller N, Ilhan YS, Kirkil C, Yeniçerioğlu A, Ayten R, Cetinkaya Z (2006) The results of surgical treatment for hepatic hydatid cysts in an endemic area. Turk J Gastroenterol 17:273–278PubMed Bülbüller N, Ilhan YS, Kirkil C, Yeniçerioğlu A, Ayten R, Cetinkaya Z (2006) The results of surgical treatment for hepatic hydatid cysts in an endemic area. Turk J Gastroenterol 17:273–278PubMed
51.
Zurück zum Zitat Schmidt-Matthiesen A, Schott O, Encke A (2002) Surgery and long term follow-up of hepatic echinococcosis outside endemic regions. Z Gastroenterol 40:51–57PubMedCrossRef Schmidt-Matthiesen A, Schott O, Encke A (2002) Surgery and long term follow-up of hepatic echinococcosis outside endemic regions. Z Gastroenterol 40:51–57PubMedCrossRef
52.
Zurück zum Zitat Safioleas MC, Misiakos EP, Kouvaraki M, Stamatakos MK, Manti CP, Felekouras ES (2006) Hydatid disease of the liver. A continuing surgical problem. Arch Surg 141:1101–1108PubMedCrossRef Safioleas MC, Misiakos EP, Kouvaraki M, Stamatakos MK, Manti CP, Felekouras ES (2006) Hydatid disease of the liver. A continuing surgical problem. Arch Surg 141:1101–1108PubMedCrossRef
53.
Zurück zum Zitat Chadli D, Haouet K, Fingerhut A (2004) Treatment of hydatid cyst of the liver: where is the evidence? World J Surg 28:731–736CrossRef Chadli D, Haouet K, Fingerhut A (2004) Treatment of hydatid cyst of the liver: where is the evidence? World J Surg 28:731–736CrossRef
54.
Zurück zum Zitat Chipponi J, Huguier M (1986) Les kystes hydatiques du foie operes en France: epidemiologie, attitudes diagnostiques et therapeutique: etude de 306 cas. Gastroenterol Clin Biol 10:419–423 Chipponi J, Huguier M (1986) Les kystes hydatiques du foie operes en France: epidemiologie, attitudes diagnostiques et therapeutique: etude de 306 cas. Gastroenterol Clin Biol 10:419–423
55.
Zurück zum Zitat Arif SH, Shams-Ul-Bari WNA, Zargar SA, Wani MA, Tabassum R (2008) Albendazole as an adjuvant to the standard surgical management of hydatid cyst liver. Int J Surg 6(6):448–451PubMedCrossRef Arif SH, Shams-Ul-Bari WNA, Zargar SA, Wani MA, Tabassum R (2008) Albendazole as an adjuvant to the standard surgical management of hydatid cyst liver. Int J Surg 6(6):448–451PubMedCrossRef
56.
Zurück zum Zitat Dziri C, Paquet JC, Hay JM, Fingerhut A, Msika S, Zeitoun G, Sastre B, Khalfallah T (1999) Omentoplasty in the prevention of deep abdominal complications after surgery for hydatid disease of the liver: a multicenter, prospective, randomized trial. French Associations for Surgical Research. J Am Coll Surg 188:281–289. https://doi.org/10.1016/S1072-7515(98)00286-5CrossRefPubMed Dziri C, Paquet JC, Hay JM, Fingerhut A, Msika S, Zeitoun G, Sastre B, Khalfallah T (1999) Omentoplasty in the prevention of deep abdominal complications after surgery for hydatid disease of the liver: a multicenter, prospective, randomized trial. French Associations for Surgical Research. J Am Coll Surg 188:281–289. https://​doi.​org/​10.​1016/​S1072-7515(98)00286-5CrossRefPubMed
58.
Zurück zum Zitat Mottaghian H, Saidi F (1978) Post-operative recurrence of hydatid disease. Br J Surg 65:237–242PubMedCrossRef Mottaghian H, Saidi F (1978) Post-operative recurrence of hydatid disease. Br J Surg 65:237–242PubMedCrossRef
59.
Zurück zum Zitat Aydin U, Yazici P, Onen Z, Ozsoy M, Zeytunlu M, Kilic M, Coker A (2008) The optimal treatment of hydatid cyst of the liver: radical surgery with a significant reduced risk of recurrence. Turk J Gastroenterol 19:33–39PubMed Aydin U, Yazici P, Onen Z, Ozsoy M, Zeytunlu M, Kilic M, Coker A (2008) The optimal treatment of hydatid cyst of the liver: radical surgery with a significant reduced risk of recurrence. Turk J Gastroenterol 19:33–39PubMed
60.
Zurück zum Zitat Zaharie F, Bartos D, Mocan L, Zaharie R, Iancu C, Tomus C (2013) Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience. Surg Endosc 27:2110–2116PubMedPubMedCentralCrossRef Zaharie F, Bartos D, Mocan L, Zaharie R, Iancu C, Tomus C (2013) Open or laparoscopic treatment for hydatid disease of the liver? A 10-year single-institution experience. Surg Endosc 27:2110–2116PubMedPubMedCentralCrossRef
61.
Zurück zum Zitat Yorganci K, Sayek I (2002) Surgical treatment of hydatid cysts of the liver in the era of percutaneous treatment. Am J Surg 184:63–69PubMedCrossRef Yorganci K, Sayek I (2002) Surgical treatment of hydatid cysts of the liver in the era of percutaneous treatment. Am J Surg 184:63–69PubMedCrossRef
62.
Zurück zum Zitat Bickel A, Loberant N, Shtamler B (1994) Laparoscopic treatment of hydatid cyst of the liver: initial experience with a small series of patients. J Laparoendosc Surg 4(2):127–133PubMedCrossRef Bickel A, Loberant N, Shtamler B (1994) Laparoscopic treatment of hydatid cyst of the liver: initial experience with a small series of patients. J Laparoendosc Surg 4(2):127–133PubMedCrossRef
63.
Zurück zum Zitat Tuxun T, Zhang JH, Zhao JM, Tai QW, Abudurexti M, Ma HZ, Wen H (2014) World review of laparoscopic treatment of liver cystic echinococcosis--914 patients. Int J Infect Dis 24:43–50PubMedCrossRef Tuxun T, Zhang JH, Zhao JM, Tai QW, Abudurexti M, Ma HZ, Wen H (2014) World review of laparoscopic treatment of liver cystic echinococcosis--914 patients. Int J Infect Dis 24:43–50PubMedCrossRef
64.
Zurück zum Zitat Yaghan R, Heis H, Bani-Hani K, Matalka I, Shatanawi N, Gharaibeh K, Bani-Hani A (2004) Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst? Am J Surg 187(4):533–537PubMedCrossRef Yaghan R, Heis H, Bani-Hani K, Matalka I, Shatanawi N, Gharaibeh K, Bani-Hani A (2004) Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst? Am J Surg 187(4):533–537PubMedCrossRef
65.
Zurück zum Zitat Palanivelu C, Jani K, Malladi V, Senthilkumar R, Rajan PS, Sendhilkumar K, Parthasarthi R, Kavalakat A (2006) Laparoscopic management of hepatic hydatid disease. JSLS 10:56–62PubMedPubMedCentral Palanivelu C, Jani K, Malladi V, Senthilkumar R, Rajan PS, Sendhilkumar K, Parthasarthi R, Kavalakat A (2006) Laparoscopic management of hepatic hydatid disease. JSLS 10:56–62PubMedPubMedCentral
66.
Zurück zum Zitat Irshat I, Tuerdi M, Zou X, Wu Y, Yasen A, Abihan Y, Qilin X, Balati M, Zhao J, Li T, Tuxun T (2017) Laparoscopic versus open surgery for hepatic cystic echinococcosis: a systematic review and meta-analysis. Int J Clin Exp Med 10(12):16788–16797 Irshat I, Tuerdi M, Zou X, Wu Y, Yasen A, Abihan Y, Qilin X, Balati M, Zhao J, Li T, Tuxun T (2017) Laparoscopic versus open surgery for hepatic cystic echinococcosis: a systematic review and meta-analysis. Int J Clin Exp Med 10(12):16788–16797
Metadaten
Titel
The Current Protocols in the Management of Hepatic Hydatid Disease
verfasst von
S. Regmee
D. K. Maharjan
P. B. Thapa
Publikationsdatum
19.01.2021
Verlag
Springer India
Erschienen in
Indian Journal of Surgery / Ausgabe Sonderheft 4/2021
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-021-02724-2

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