Spillage and recurrence in surgical management of hydatid cyst of the liver
Recurrence remains a serious problem in hydatid disease (HD) despite the advancements in treatment modalities. Spillage of cyst material during conservative treatment can result in extrahepatic multifocal recurrence. In the surgical management of recurrent cysts associated with procedure-related s...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Dicle University Medical School
2019-09-01
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| Series: | Dicle Medical Journal |
| Subjects: | |
| Online Access: | http://diclemedj.org/upload/sayi/74/Dicle%20Med%20J-03779.pdf |
| Summary: | Recurrence remains a serious problem in hydatid disease (HD) despite the advancements in treatment modalities.
Spillage of cyst material during conservative treatment can result in extrahepatic multifocal recurrence. In the surgical
management of recurrent cysts associated with procedure-related spillage, the procedure is further complicated by
the multifocal nature of these cysts and the adhesions caused by prior surgery, thereby leading to increased risk of
morbidity and recurrence.
There fore, utmost care should be taken to prevent spillage during the primary surgery. In this report, we present a
64-year-old female patient who underwent surgical treatment due to multifocal, symptomatic, recurrent hydatid cysts
associated with procedure-related spillage. Total cystectomy was performed for the cysts in the abdominal wall and in
the intraabdominal and subdiaphragmatic areas while partial cystectomy with drainage and omentoplasty were
performed for the cysts in the liver parenchyma.
The recurrence risk can be reduced via perioperative albendazole treatment, complete resection of the cyst without
perforation, protection of adjacent anatomical structures by the use of scolicidal agent-soaked sponges, and
meticulous surgical treatment leaving no residual cyst material. |
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| ISSN: | 1300-2945 1308-9889 |