Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)

Echinococcosis is an endemic zoonosis in the south of Chile; we therefore have occasion to treat a large number of patients, particularly in the liver. Hepatic echinococcosis (HE) has its own morbidity and mortality due to evolutionary complications, to which the risk of complications related to the...

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Autores principales:	Manterola,Carlos, Otzen,Tamara
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2016
Materias:	Echinococcosis Hydatidosis Hepatic Echinococcosis Hepatic/surgery Hepatic Hydatid Cyst Pericystectomy Hepatic resections Capitonnage Omentoplasty
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200044
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spelling	oai:scielo:S0717-950220160002000442016-07-13Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)Manterola,CarlosOtzen,Tamara Echinococcosis Hydatidosis Echinococcosis Hepatic Echinococcosis Hepatic/surgery Hepatic Hydatid Cyst Pericystectomy Hepatic resections Capitonnage Omentoplasty Echinococcosis is an endemic zoonosis in the south of Chile; we therefore have occasion to treat a large number of patients, particularly in the liver. Hepatic echinococcosis (HE) has its own morbidity and mortality due to evolutionary complications, to which the risk of complications related to the surgical procedures is added, the morbidity which has been reported up to 80 %. This is associated with a history of previous surgeries for HE, evolutionary complications of the cyst, the need for additional procedures such as the treatment of the disease in other simultaneous locations, etc. Moreover, reported mortality is up to 10 %, a situation that remains unchanged despite technological and therapeutic advances. The surgical treatment of HE can be divided into four phases: isolation of the surgical area, evacuation of the cyst, treatment of the complications of the cyst and treatment of the residual cavity. HE surgical procedures can be classified as conservative (marsupialization, cystostomy, Posadas technique and cystojejunostomy) and radical (pericystectomy and hepatic resections). Finally, the role of laparoscopic surgery, which is still under evaluation, is also worthy of note. The aim of this article is to present a general evidence-based overview of some surgical aspects of interest in the treatment of HE. In this article issues of the different surgical options utilized for HE treatment and their results are discussed, based on published evidence.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.2 20162016-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200044en10.4067/S0717-95022016000200044
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Echinococcosis Hydatidosis Echinococcosis Hepatic Echinococcosis Hepatic/surgery Hepatic Hydatid Cyst Pericystectomy Hepatic resections Capitonnage Omentoplasty
spellingShingle	Echinococcosis Hydatidosis Echinococcosis Hepatic Echinococcosis Hepatic/surgery Hepatic Hydatid Cyst Pericystectomy Hepatic resections Capitonnage Omentoplasty Manterola,Carlos Otzen,Tamara Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)
description	Echinococcosis is an endemic zoonosis in the south of Chile; we therefore have occasion to treat a large number of patients, particularly in the liver. Hepatic echinococcosis (HE) has its own morbidity and mortality due to evolutionary complications, to which the risk of complications related to the surgical procedures is added, the morbidity which has been reported up to 80 %. This is associated with a history of previous surgeries for HE, evolutionary complications of the cyst, the need for additional procedures such as the treatment of the disease in other simultaneous locations, etc. Moreover, reported mortality is up to 10 %, a situation that remains unchanged despite technological and therapeutic advances. The surgical treatment of HE can be divided into four phases: isolation of the surgical area, evacuation of the cyst, treatment of the complications of the cyst and treatment of the residual cavity. HE surgical procedures can be classified as conservative (marsupialization, cystostomy, Posadas technique and cystojejunostomy) and radical (pericystectomy and hepatic resections). Finally, the role of laparoscopic surgery, which is still under evaluation, is also worthy of note. The aim of this article is to present a general evidence-based overview of some surgical aspects of interest in the treatment of HE. In this article issues of the different surgical options utilized for HE treatment and their results are discussed, based on published evidence.
author	Manterola,Carlos Otzen,Tamara
author_facet	Manterola,Carlos Otzen,Tamara
author_sort	Manterola,Carlos
title	Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)
title_short	Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)
title_full	Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)
title_fullStr	Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)
title_full_unstemmed	Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)
title_sort	surgical alternatives used in the treatment of liver hydatid cyst: a systematized approach based on evidence (an overview)
publisher	Sociedad Chilena de Anatomía
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200044
work_keys_str_mv	AT manterolacarlos surgicalalternativesusedinthetreatmentofliverhydatidcystasystematizedapproachbasedonevidenceanoverview AT otzentamara surgicalalternativesusedinthetreatmentofliverhydatidcystasystematizedapproachbasedonevidenceanoverview
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Surgical Alternatives Used in the Treatment of Liver Hydatid Cyst: A Systematized Approach Based on Evidence (an Overview)

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