In:
HPB Surgery, Hindawi Limited, Vol. 11, No. 4 ( 1999-01-01), p. 253-259
Abstract:
Hydatid disease of the liver is still a major cause of
morbidity in Greece. Beside the common complications of rupture and suppuration, calcification of the
hepatic cysts represent a not well studied, less frequent and sometimes difficult surgical problem. In
the present study 75 cases with calcified symptomatic liver echinococcosis were operated on in the
1st Propedeutic Surgical Clinic between 1964 to 1996. Twenty-eight patients were male and 47 female
with ages from 23 to 78 years. The diagnosis was based mainly on the clinical picture and radiological
studies. In 5 cases the operative method was cystopericystectomy. We performed evacuation of
the cystic cavity and partial pericystectomy and primary closure of the residual cavity in 6 cases,
omentoplasty or filling of the residual cavity with a piece of muscle of the diaphragm in 4 cases and
external drainage by closed tube, in 60 cases. In 12 of those with drainage, after a period of time, a second
operation with easy, removal of most of the calcareous wall plaques was performed. The mortality rate
was 2%. Our results could be considered satisfactory. In
the calcified parasitic cysts of the liver the proposed technique is cystopericystectomy. An alternative
procedure is pericystectomy and drainage with a “planned” reoperation with a bloodless, due
to intervening inflammation, chiseling of the calcification.
Type of Medium:
Online Resource
ISSN:
0894-8569
Language:
English
Publisher:
Hindawi Limited
Publication Date:
1999
detail.hit.zdb_id:
2031561-2
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