Surgical Management of Hydatid Liver Disease

  • Ajaz Ahmad Malik
  • Shams ul Bari


The mainstay of treatment of hepatic hydatid disease is surgery and is presently the only viable treatment for alveolar hydatid disease (Arif et al. 2008). Even today, controversy exists as to the extent of operation performed. Advances in management have been made with the use of newer anthelminthic and application of percutaneous aspiration in selected patients.


  1. Ahrari H. Use of cetrimide in the surgery of hydatid cyst. Bull Soc Pathol Exot Filiales. 1978;71:90–4.PubMedGoogle Scholar
  2. Alper A. Choledochoduodenostomy for intrabiliary rupture of hydatid cysts of liver. Br J Surg. 1987;74(4):243–5.CrossRefGoogle Scholar
  3. Amir-Jehad AK, Faria R, Furzad R. Clinical echinococcus. Ann Surg. 1975;182:541–5.CrossRefGoogle Scholar
  4. Arif SH, Bari S u, Wani NA, Zargar SA. Albendazole as an adjuvant to the standard surgical management of hydatid cyst liver. Int J Surg. 2008;6:448–51.CrossRefGoogle Scholar
  5. Bari S, S H, Malik AA, Rouf KA, Tufale AD, Zahoor AN. Role of albendazole in the management of hydatid cyst liver. Saudi J Gastroenterol. 2011;17(5):343–7.CrossRefGoogle Scholar
  6. Barros JL. Hydatid disease in liver. Am J Surg. 1978;135:597–600.CrossRefGoogle Scholar
  7. Belghiti J, Benhamou JP, Pernicerit T. Caustic sclerosing cholangitis: a complication of surgical treatment of hydatid disease of the liver. Arch Surg. 1986;121:1162–5.CrossRefGoogle Scholar
  8. Belli L, del Favero E, Marni A. Resection versus pericystectomy in the treatment of hydatidosis of the liver. Am J Surg. 1983;145(2):239–42.CrossRefGoogle Scholar
  9. Christopher PJ, Lopez WA. Hydatid disease notifications in New South Wales. Med J Aust. 1970;1:1773–5.Google Scholar
  10. Djilall G, Mehrour A, Cussedlk T. L’eau oxygenee dans la chirurgie du Kyste hydatique. La Presse Medicale. 1983;12:235–7.Google Scholar
  11. Filice C, Pirola F, Brunetti E. A new therapeutic approach for hydatid cyst. Aspiration and alcohol injections under sonographic guidance. Gastroenterology. 1990;98:1366–8.CrossRefGoogle Scholar
  12. Fraya GJ, Bikhazi KJ, Kachachi TA. Treatment of hydatid cysts (Echinococcus granulosus) by cetrimide. Trans R Soc Trop Med Hyg. 1981;75:447–50.CrossRefGoogle Scholar
  13. Frayha GJ, Saheb SE, Dajani RM. Systematic research for a systemic scolicide. Chemotherapy. 1971;16:371–9.CrossRefGoogle Scholar
  14. Gilchrist DS. Chemical peritonitis after cetrimide washout in hydatid cyst surgery. Lancet. 1979;ii:1374.CrossRefGoogle Scholar
  15. Gilevich IS, Ataev BA, Vafin AZ. Relapses in Echinococcus disease (Russ). Vestnik Khirugie. 1980;124:39–45.Google Scholar
  16. Gokce O, Gokce C, Yilmaz M, Huseyinoglu K, Gunel S. Povidone–iodine in experimental peritoneal hydatidosis. Br J Surg. 1991;78:495–6.CrossRefGoogle Scholar
  17. Heath DD, Christie MJ, Chevis RAF. The lethal effect of mebendazole on secondary Echinocccos granulosus, cysticerci of Taenia pisiformis and tetrathyridia of mesocestoides corti. Parasitology. 1975;70:273–85.CrossRefGoogle Scholar
  18. Ibrahim HH. Hepatic hydatid cysts: management and outcome of open surgical treatment. Eur Surg. 2016;48:290–5.CrossRefGoogle Scholar
  19. Kattan YB. Intrabiliary rupture of hydatid cysts of the liver. Ann R Coll Surg Engl. 1977;59:109–14.Google Scholar
  20. Khuroo MS. Hydatid disease: current status and recent advances. Ann Saudi Med. 2002;22:56–64.CrossRefGoogle Scholar
  21. Little JM. Hydatid diseases at the Royal Prince Alfred. Hospital 1964–1974. Med J Aust. 1976;1:903–8.PubMedGoogle Scholar
  22. Little JM, Hollands MT, Eckberg H. Recurrence of hydatid disease. World J Surg. 1988;12:700–4.CrossRefGoogle Scholar
  23. Malik AA, Bari S, Shah K, Shah FA, Amin R, Jan M. External tube drainage versus omentopexy in the management of residual hepatic hydatid cyst cavity. Int J Surg. 2008;15(1):10–20.Google Scholar
  24. Malik AA, Bari SUL, Amin R, Jan M. Surgical management of complicated hydatid cysts of the liver. World J Gastrointest Surg. 2010;2(2):78.CrossRefGoogle Scholar
  25. Milicevic MN. Hydatid disease. In: Blumgart LH, Fong Y, editors. Surgery of the liver and biliary tract, vol. 2. China: WB Saunders; 2005. p. 1167–97.Google Scholar
  26. Morris DL, Lamont G. Suction curette in the management of hydatid cysts. Br J Surg. 1987;74(4):323.CrossRefGoogle Scholar
  27. Mottaghion H, Saidi F. Postoperative recurrence of hydatid disease. Br J Surg. 1978;65:237–42.CrossRefGoogle Scholar
  28. Papadimitrio J, Mandrakes A. Surgical treatment of hydatid cyst of liver. Br J Surg. 1970;57:431–9.CrossRefGoogle Scholar
  29. Saidi F. A new approach to the surgical treatment of hydatid cyst. Ann R Coll Surg Engl. 1977;59:115–20.PubMedPubMedCentralGoogle Scholar
  30. Sheikh KA, Wani AA, Nehvi TH, Bari S. Open method versus capitonnage in management of hydatid cyst. Paediatr Surg Int. 2001;17:382–285.CrossRefGoogle Scholar
  31. Teres J, Gomez-Moli J, Bruquera M. Sclerosing cholangitis after surgical treatment of hepatic echinococcal cysts. Report on three cases. Am J Surg. 1984;148:694–7.CrossRefGoogle Scholar
  32. Wani RA, Malik AA, Chowdri NA, Wani KA, Naqash SH. Primary extrahepatic abdominal hydatidosis. Int J Surg. 2005;3:125–7.CrossRefGoogle Scholar
  33. Zargar SA, Khuroo MS, Khan BA, Dar MY. Intrabiliary rupture of hydatid cyst: sonographic and cholangiographic appearances. Gastrointest Radiol. 1992;17:41–4.CrossRefGoogle Scholar
  34. Zinner MJ, Schuxirtz SI, Ellis H. Liver abscess and hydatid disease. Maingot’s abdominal operations, vol. II. 10th ed. Stamford, CT: Apleton and Lange; 1997. p. 1513–44.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Ajaz Ahmad Malik
    • 1
  • Shams ul Bari
    • 2
  1. 1.Department of SurgerySheri-Kashmir Institute of Medical Sciences (SKIMS)SrinagarIndia
  2. 2.Department of SurgerySkims/Skims Medical college SrinagarIndia

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