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Scripta Scientifica Medica

Open surgery for liver hydatid disease

Nikola Kolev, Valentin Ignatov, Georgi Ivanov, Anton Tonev, Vilian Platikanov, Aleksandar Zlatarov, Krasimir Ivanov

Abstract

Hydatid cyst disease is a cosmopolitan parasitosis. E. granulosis species prevails in most countries around the world and especially in the Mediterranean region. We performed a retrospective literature search on liver hydatid cysts was carried out in ScienceDirect, Scopus, Web of Knowledge, InCites, and MEDLINE data-bases for the period 2000-2012. According to recent literature data, liver is the most commonly affected organ. The principles of surgical approach to the liver hydatid disease include the following: i) neutralization of the parasite; ii) evacuation of the cyst and removal of the germinative layer, and iii) treatment of the remaining cavity. The marsupialization of the remaining cyst is not accepted in case of suppurated hydatid cyst. There are numerous opinions about the most efficient scolicidal solution. The most intractable problem is the approach to the residual cavity of hydatid cyst. Major postoperative complications reported by different authors are mainly inflammatory processes. The radical surgical method is indicated in case of peripherally located hydatid cysts, several cysts grouped in a liver segment or lobe, and cysts located in the left lateral hepatic lobe. The surgical method still remains the golden standard for treatment of liver hydatid cysts.

Scripta Scientifica Medica 2013; 45(3): 23-26.


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DOI: http://dx.doi.org/10.14748/ssm.v45i3.300

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About The Authors

Nikola Kolev
Medical University of Varna
Bulgaria

First Clinic of Surgery, St. Marina University Hospital of Varna

Valentin Ignatov
Medical University of Varna
Bulgaria

First Clinic of Surgery, St. Marina University Hospital of Varna

 

Georgi Ivanov
Medical University of Varna
Bulgaria

First Clinic of Surgery, St. Marina University Hospital of Varna

Anton Tonev
Medical University of Varna
Bulgaria

First Clinic of Surgery, St. Marina University Hospital of Varna

Vilian Platikanov
Medical University of Varna
Bulgaria

Department of Anesthesiology and Intensive Care, St. Marina University Hospital of Varna

Aleksandar Zlatarov
Medical University of Varna
Bulgaria

First Clinic of Surgery, St. Marina University Hospital of Varna

Krasimir Ivanov
Medical University of Varna
Bulgaria

First Clinic of Surgery, St. Marina University Hospital of Varna

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