Abstract
We report herein the cases of five patients with alveolar hydatid disease (AHD) of the liver who were diagnosed and underwent surgery at the Department of Surgery of Ankara University between 1989 and 1994. In all five patients, the final diagnosis was established by frozen section of the lesion during laparotomy. Lesions of AHD were found only in the liver. Hepatic resections including right lobectomy and segmentectomy were performed in three patients while palliative procedures were carried out in the remaining two patients with unresectable disease. There was no operative mortality, and only one late death occurred 3 years after the hepatic resection. In this paper, we present the clinical and operative findings of these five patients and their outcomes, followed by a review of the surgical treatment of AHD.
Similar content being viewed by others
References
Wilson JF, Rausch RL (1980) Alveolar hydatid disease: a review of clinical features of 33 indigenous cases of Echinococcus multilocularis. Am J Trop Med Hyg 29(6):1340–1355
Kasai Y, Koshino I, Kawanishi N, Hitoshi S, Eisei S, Mitsuri K (1980) Alveolar echinococcosis of the liver: studies on 60 operated cases. Ann Surg 191(2):145–152
Saidi F (1976) Alveolar echinococcosis. In: Saidi F (ed) Surgery of hydatid disease. Saunders, London, pp 377–387
Mosimann F (1980) Is alveolar hydatid disease of the liver incurable? Ann Surg 192(1):118–123
Kayabali I, Keleş C, Günş ME, Acar H (1982) Echinococcus alvéolaire du foie: réflexion à propos de 10 cas. Extrait Lyon Chirurg 78(5):347–348
Minkari T (1988) Alveolar kist (in Turkish). Çaĝdaş Cerrahi Dergisi (J Curr Surg) 2:209–240
Uysal V, Paksoy N (1986) Echinococcus multilocularis in Turkey. J Trop Med Hyg 89:249–255
Akinoĝlu A, Demiryürek H, Güzel C (1991) Alveolar hydatid disease of the liver: a report on thirty-nine surgical cases in Eastern Anatolia, Turkey. Am J Trop Med Hyg 45(2):182–189
Dider D, Weiler S, Rohmer P, Lassegue A, Deschamps JP, Vuitton D, Miguet JP, Weill F (1985) Hepatic alveolar echinococcosis: correlative US and CT. Radiology 154:179–186
Choji K, Fujita N, Chen M, Spiers ASD, Morita Y, Shinohara M, Nojima T, Irie G (1992) Alveolar hydatid disease of the liver: Computed tomography and transabdominal ultrasound with histopathological correlation. Clin Radiol 46:97–103
Treugut H, Schulze K, Hübener KH, Andrasch R (1980) Pulmonary involvement by echinococcus alveolaris. Radiology 137:37–41
Kunze V, Layer G, Brüning R (1992) Metastasierender Echinococcus alveolaris der Leber. Radiologie 32:444–447
Maier V (1983) Computed tomographic diagnosis of Echinococcus alveolaris. Hepatogastroenterology 30(3):83–85
Ito A, Wang XG, Liu YH (1993) Differential serodiagnosis of alveolar and cystic hydatid disease in the People's Republic of China. Am J Trop Med Hyg 49(2):208–213
Amman RW (1991) Improvement of liver resectional therapy by adjuvant chemotherapy in alveolar hydatid disease. Parasitol Res 77:290–293
Gillet M, Miguet JP, Mantion G, Bresson-Hadni S, Becker MC, Rouget C, Christophe JL, Roullier M, Landeeg G, Guarder L, Bechtel P, Vuitten D (1988) Orthotopic liver transplantation in alveolar echinococcosis of the liver. Transplant Proc 20:573–576
Liu YH, Wang XG, Chen YT (1991) Preliminary observation of continuous albendazole therapy in alveolar echinococcosis. Chin Med J 104(11):930–933
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bengisun, U., Tunç, G., Kesenci, M. et al. Surgical treatment of advanced alveolar hydatid disease of the liver: A report of five cases. Surg Today 27, 261–265 (1997). https://doi.org/10.1007/BF00941658
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00941658