Abstract
Background
This study aimed to evaluate the efficacy of percutaneous treatment of giant abdominal hydatid cysts.
Methods
In this study, 15 abdominal giant hydatid cysts were treated with the catheterization technique, which included puncture of the cyst, aspiration of fluid, instillation and respiration of hypertonic saline solution, and catheterization and sclerosant therapy with absolute ethanol followed by free drainage of the cavity. The catheter was removed when the daily drainage was less than 10 ml.
Results
The goals, including inactivation of the parasite and elimination of the mass effect, were achieved in all patients. Catheterization required a mean of 32 days (range, 14–52 days) and hospitalization a mean of 8.73 days (range, 2–30 days). No evidence for recurrence was observed in any patient during a mean follow-up period of 52.8 months (range, 36–72 months).
Conclusion
Percutaneous treatment of giant hydatid cysts is effective because it eliminates both the mass effect and the parasite and alleviates the symptoms. Although the long catheterization time associated with the procedure is unfavorable, it is tolerated by the patients.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Acunaş B, Rozanes İ, Çelik L, Minareci Ö, Acunaş G, Alper A, Arıoğul O, Gökmen E (1992) Purely cystic hydatic disease of the liver: treatment with percutaneous aspiration and injection of hypertonic saline. Radiology 182: 541–543
Akhan O, Dinçer A, Gököz A, Sayek I, Havlıoğlu S, Abbasoğlu A, Eryılmaz M, Besim A, Barış I (1993) Percutaneous treatment of abdominal hydatid cysts with hypertonic saline and alcohol: an experimental study in sheep. Invest Radiol 28: 121–1274
Akhan O, Özmen MN (1999) Percutaneous treatment of liver hydatid cysts. Eur J Radiol 32: 76–85
Akhan O, Özmen MN, Dinçer A, Sayek İ, Göçmen A (1996) Liver hydatid disease: long-term results of percutaneous treatment. Radiology 198: 259–264
Bosanac ZB, Lisanin L (2000) Percutaneous drainage of hydatid cyst in the liver as a primary treatment: review of 52 consecutive cases with long-term follow-up. Clin Radiol 55: 839–848
Bret PM, Fond A, Bretagnolle M, Valette PJ, Thiesse PH, Lambert R, Labadie M (1988) Percutaneous aspiration and drainage of hydatid cysts in the liver. Radiology 168: 617–620
Filice C, Pirola F, Brunetti E, Dughetti S, Strosselli M, Foglieni CS (1990) A new therapeutic approach for hydatid liver cysts: aspiration and alcohol injection under sonographic guidance. Gastroenterology 98: 1366–1368
Gargouri M, Ben Amor N, Ben Cheida F, Hammou A, Gharbi HA, Cheikh MB, Kehouk H, Ayachi K, Golvan JY (1990) Percutaneous treatment of hydatid cysts (Echinococcus granulosus). Cardiovasc Intervent Radiol 13: 169–173
Giorgio A, Tarantino L, Francica G, Mariniello N, Aloisio T, Soscia E, Pierri G (1992) Unilocular hydatid liver cysts: treatment with US-guided, double percutaneous aspiration and alcohol injection. Radiology 184: 705–710
Khuroo MS, Dar MS, Yattoo GN, Zargar SA, Javaid G, Khan BA, Boda MI (1993) Percutaneous drainage versus albendazole therapy in hepatic hydatidosis: a prospective, randomized study. Gastroenterology 104: 1452–1459
Khuroo MS, Wani NA, Javid G, Khan BA, Yattoo GN, Shah AH, Jeelani SG (1997) Percutaneous drainage compared with surgery for hepatic hydatid cysts. N Eng J Med 337: 881–887
Khuroo MS, Zargar SA, Mahajan R (1991) Echinococcus granulosus cysts in the liver: management with percutaneous drainage. Radiology 180: 141–145
Men S, Hekimoğlu B, Yücesoy C, Arda İS, Baran İ (1999) Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery. AJR Am J Roentgenol 72: 83–89
Ozacmak ID, Ekiz F, Ozmen V, Isık A (2000) Management of residual cavity after partial cystectomy for hepatic hydatidosis: comparison of omentoplasty with external drainage. Eur J Surg 166: 696–699
Perdomo R, Alvarez C, Monti J, Ferreira C, Chiesa A, Carbo A, Alvez R, Grauert R, Stern D, Carmona C, Yarzabal L (1997) Principles of the surgical approach in human liver cystic echinococcosis. Acta Tropica 64: 109–122
Saremi F, McNamara TO (1995) Hydatid cysts of the liver: long-term results of percutaneous treatment using a cutting instrument. AJR Am J Roentgenol 165: 1163–1167
Üstünsöz B, Akhan O, Kamiloğlu MA, Somuncu İ, Uğurel MŞ, Çetiner S (1999) Percutaneous treatment of hydatid cysts of the liver: long-term results. AJR Am J Roentgenol 172: 91–96
Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, Akdeniz A, Cetiner S, Tufan T (2005) Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg 29: 1670–1679
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Men, S., Yücesoy, C., Edgüer, T.R. et al. Percutaneous treatment of giant abdominal hydatid cysts: long-term results. Surg Endosc 20, 1600–1606 (2006). https://doi.org/10.1007/s00464-005-0627-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-005-0627-2