Abdominal echinococcosis: outcomes of conservative surgery

作者：Pandey Anshuman^*; Chandra Abhijit; Masood Shakeel

来源：Transactions of the Royal Society of Tropical Medicine and Hygiene, 2014, 108(5): 264-268.

DOI：10.1093/trstmh/tru003

• Abdominal echinococcosis
• Conservative surgery
• Hydatid disease
• Morbidity
• Outcomes
• Recurrence

Background: Hydatid disease, infection with the larval stage of the cestode Echinococcus spp., represents a substantial disease burden worldwide. We report here the outcomes of conservative surgery in patients with abdominal echinococcosis.
Methods: We carried out a retrospective review of patients who underwent conservative surgery for abdominal hydatid disease during the period January 2008 to December 2011. Perioperative outcomes were analysed after a mean follow-up of 24 months (range 636 months).
Results: Thirty patients (mean age 40.4 years; male:female7:3) underwent surgery. Most (29 patients) had a hepatic hydatid cyst and underwent partial cystectomy with omentoplasty; surgery was open in 22 cases (73), laparoscopic in six cases (20) and laparoscopic converted to open in one case (3); one patient with a splenic cyst underwent open splenectomy. Cystobiliary communication was present in 10 cases (3). Postoperative complications included transient biliary leak in two cases (7), grade 1 surgical site infection in five cases (17) and respiratory tract infection in three cases (10), with no mortality. Mean hospital stay was 179.2 days. None of the patients had recurrence of disease on follow-up imaging.
Conclusion: Conservative surgery offers an effective approach for abdominal echinococcosis, with minimal morbidity or recurrence, and is an alternative to radical procedures.

• 出版日期2014-5
• 单位河北医科大学