Asclepiades – SurgeryPaedeia

Συντάχθηκε από:

Αναστάσιος Λιάτας, MD, F.I.C.A. – Διευθυντής Χειρουργός

A C Liatas, MD, F.I.C.A. – Consultant Surgeon

Athens  General  Hospital  » EVAGELISMOS «

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Abstract

Hydatid disease is a parasitic infection caused by several species of the cestode echinococcus. The most common form in Greece is Granulosus. Patients affected by the parasite are asymptomatic for a long period of time. They usually seek medical care when their cysts have become very large and a great amount of liver parenchyma has already been destroyed. We are reporting a 15 year experience with various surgical procedures employed to treat these patients.

Discussion

From 1973 to 1988, 90 patients with hydatid disease of the liver were treated surgically in the 2nd Surgical Department of the District General Hospital of Athens.  Based on the clinical presentation, the location of the hepatic cyst and the presence or absence of extra-hepatic disease, we performed 92 operations, 9 of which for a relapsed hydatid disease. Radical operative procedure was carried out in 11 patients (2 hemihepatectomies and 9 pericystectomies), conservative surgical treatment was used in 77 patients and 4 patients underwent a combination of both techniques (pericystectomy and cystic resection). The most frequent conservative procedure we performed was cystectomy with resection of the prominent part of the pericyst (unroofing). The operative approach, type of surgical techniques, postoperative complications and their management, reoperation due to recurrent symptomatic cysts and postoperative in hospital stay have all examined appropriately. Our main surgical goal was to create a generous aperture by removing the prominent part of the pericyst in order to minimize the depth of the residual cavity and thus promoting its obliteration. Whenever possible an omental tag was placed into the residual cavity and fastened in this position with absorbable sutures. The combination of all surgical measures have effectively achieved the eradication of the parasite, prevention of complications and obliteration of the residual cavity. There were no deaths.

Δημοσίευση εργασίας

Η εργασία αυτή έχει ανακοινωθεί στο: 2nd Mediterranean Surgical Congress, Athens, 24th – 27th of June 1989.

Αρχείο εργασίας

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