Journal Article

Abdominal echinococcosis: outcomes of conservative surgery

Anshuman Pandey, Abhijit Chandra and Shakeel Masood

in Transactions of The Royal Society of Tropical Medicine and Hygiene

Published on behalf of Royal Society of Tropical Medicine and Hygiene

Volume 108, issue 5, pages 264-268
Published in print May 2014 | ISSN: 0035-9203
Published online January 2014 | e-ISSN: 1878-3503 | DOI: https://dx.doi.org/10.1093/trstmh/tru003
Abdominal echinococcosis: outcomes of conservative surgery

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  • Public Health and Epidemiology
  • Clinical Medicine
  • Infectious Diseases
  • Medical Microbiology and Virology
  • Immunology

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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 6–36 months).

Results

Thirty patients (mean age 40.4 years; male:female=7:3) 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 17±9.2 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.

Keywords: Abdominal echinococcosis; Conservative surgery; Hydatid disease; Morbidity; Outcomes; Recurrence

Journal Article.  2953 words.  Illustrated.

Subjects: Public Health and Epidemiology ; Clinical Medicine ; Infectious Diseases ; Medical Microbiology and Virology ; Immunology

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