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Changing concepts in the management of liver hydatid disease

  • Review Article
  • Published:
Journal of Gastrointestinal Surgery

Abstract

Hydatid disease is a rare entity primarily affecting the population of developing countries. The parasite shuttles between the liver and lungs. but almost any organ can be invaded, forming cysts. Septation and calcification of the cysts with a high antibody titre in the patient’s serum confirm the diagnosis, although more sophisticated tests have been applied recently. Surgery constitutes the primary treatment, with a variety of techniques based on the principles of eradication and elimination of recurrence by means of spillage avoidance. Minimally invasive techniques and percutaneous drainage of the cysts are now feasible because of progress in the field. The aim of this review is to collect the experience from three different institutions and to provide practical guidelines for diagnostic and therapeutic strategies.

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Authors and Affiliations

  1. Unit of Liver Surgery, 1st Surgical Clinic, "Agia Olga" Hospital, Athens, Greece

    Christos Dervenis M.D., F.R.C.S., Spiros Delis M.D. & Costas Avgerinos M.D.

  2. Liver Surgical Unit, Division of Transplantation, University of Miami School of Medicine, Miami, Florida, Serbia and Montenegro

    Juan Madariaga M.D.

  3. The First Surgical Clinic, Institute for Digestive Diseases, University Clinical Center Belgrade, Serbia and Montenegro

    Miroslav Milicevic M.D.

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  1. Christos Dervenis M.D., F.R.C.S.
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Correspondence to Christos Dervenis M.D., F.R.C.S..

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Dervenis, C., Delis, S., Avgerinos, C. et al. Changing concepts in the management of liver hydatid disease. J Gastrointest Surg 9, 869–877 (2005). https://doi.org/10.1016/j.gassur.2004.10.016

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