hepatic echinococcosis

Summary

Summary: Liver disease caused by infections with parasitic tapeworms of the genus ECHINOCOCCUS, such as Echinococcus granulosus or Echinococcus multilocularis. Ingested Echinococcus ova burrow into the intestinal mucosa. The larval migration to the liver via the PORTAL VEIN leads to watery vesicles (HYDATID CYST).

Top Publications

  1. Emre A, Rozanes I, Guven K. Controversial issues in the management of echinococcal liver disease. Turk J Gastroenterol. 2006;17:257-9 pubmed
  2. Hegglin D, Deplazes P. Control strategy for Echinococcus multilocularis. Emerg Infect Dis. 2008;14:1626-8 pubmed publisher
    ..Monthly baiting over a 45-month period was effective for long-lasting control. Trimonthly baiting intervals were far less effective and did not prevent parasite recovery...
  3. Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, et al. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg. 2005;29:1670-9 pubmed
    ..Our experience with PAIR (puncture, aspiration, injection, and reaspiration) and catheterization provides evidence that the procedure is an effective and safe option...
  4. Stamatakos M, Kontzoglou K, Tsaknaki S, Sargeti C, Iannescu R, Safioleas C, et al. Intrahepatic bile duct rupture of hydatid cyst: a severe complication for the patient. Chirurgia (Bucur). 2007;102:257-62 pubmed
    ..Intrabiliary rupture, although rare, carries severe health risks; timely diagnosis and appropriate management of this entity are vital for the patient's survival...
  5. Kang M, Lee S, Kim S, Chei Y, Park J, Park D, et al. [A case of multiple intraperitoneal cysts from ruptured hepatic hydatid cysts]. Korean J Gastroenterol. 2007;50:203-6 pubmed
    ..The pathologic finding of resected cyst was the characteristic pattern of outer thick laminated membrane and inner thin germinal layer. Albendazole was administrated for prophylatic purpose...
  6. Wang Q, Vuitton D, Xiao Y, Budke C, Campos Ponce M, Schantz P, et al. Pasture types and Echinococcus multilocularis, Tibetan communities. Emerg Infect Dis. 2006;12:1008-10 pubmed
    ..This characteristic was linked to a higher prevalence of Echinococcus multilocularis in dogs and indicates that pasture type may affect E. multilocularis transmission...
  7. Kern P, Wen H, Sato N, Vuitton D, Gruener B, Shao Y, et al. WHO classification of alveolar echinococcosis: principles and application. Parasitol Int. 2006;55 Suppl:S283-7 pubmed
  8. Logar J, Soba B, Lejko Zupanc T, Kotar T. Human alveolar echinococcosis in Slovenia. Clin Microbiol Infect. 2007;13:544-6 pubmed
    ..The detected incidence of AE was 0.45/10(5) inhabitants, which suggests that clinicians and health authorities in Slovenia should give greater attention to AE in the future...
  9. Vuitton D, Zhang S, Yang Y, Godot V, Beurton I, Mantion G, et al. Survival strategy of Echinococcus multilocularis in the human host. Parasitol Int. 2006;55 Suppl:S51-5 pubmed
    ..Therapeutic use of Interferon alpha is an attempt to foil the survival strategy of E. multilocularis...

More Information

Publications85

  1. Horvath A, Patonay A, Banhegyi D, Szlávik J, Balázs G, Görög D, et al. [The first case of human alveolar Echinococcosis in Hungary]. Orv Hetil. 2008;149:795-9 pubmed publisher
    ..In the presence of appropriate clinical findings, the possibility of this rare infection has to be considered in the differential diagnosis of infiltrative hepatic lesions...
  2. Akcan A, Akyildiz H, Artis T, Ozturk A, Deneme M, Ok E, et al. Peritoneal perforation of liver hydatid cysts: clinical presentation, predisposing factors, and surgical outcome. World J Surg. 2007;31:1284-91 pubmed
    ..Peritoneal rupture increases the rates of postoperative morbidity and recurrence; in contrast, there was no significant relation between the operative procedure and the morbidity and recurrence rates...
  3. Bulbuller N, Ilhan Y, Kirkil C, Yeniçerioğlu A, Ayten R, Cetinkaya Z. The results of surgical treatment for hepatic hydatid cysts in an endemic area. Turk J Gastroenterol. 2006;17:273-8 pubmed
    ..Hydatid cyst remains an important public health problem in endemic areas...
  4. Voros D, Katsarelias D, Polymeneas G, Polydorou A, Pistiolis L, Kalovidouris A, et al. Treatment of hydatid liver disease. Surg Infect (Larchmt). 2007;8:621-7 pubmed publisher
    ..Proper selection among the strategies reported so far could be the most appropriate part of successful patient management...
  5. Adas G, Arikan S, Kemik O, Oner A, Sahip N, Karatepe O. Use of albendazole sulfoxide, albendazole sulfone, and combined solutions as scolicidal agents on hydatid cysts (in vitro study). World J Gastroenterol. 2009;15:112-6 pubmed
    ..To establish which scolicidal agents are superior and more suitable for regular use...
  6. Ozturk G, Aydinli B, Yildirgan M, Basoglu M, Atamanalp S, Polat K, et al. Posttraumatic free intraperitoneal rupture of liver cystic echinococcosis: a case series and review of literature. Am J Surg. 2007;194:313-6 pubmed
    ..A serious complication of cystic echinococcus (CE) is the rupture of the cysts. Free intra-abdominal rupture occurs in approximately 3.2% of all cases. Posttraumatic rupture of liver CE is very rare...
  7. Gourgiotis S, Stratopoulos C, Moustafellos P, Dimopoulos N, Papaxoinis G, Vougas V, et al. Surgical techniques and treatment for hepatic hydatid cysts. Surg Today. 2007;37:389-95 pubmed
    ..Hepatic hydatid cysts (HHCs) are a parasitic infestation caused by several species of Echinococcus. We examined the clinical features of HHCs and evaluated the results of various surgical procedures...
  8. Schweiger A, Ammann R, Candinas D, Clavien P, Eckert J, Gottstein B, et al. Human alveolar echinococcosis after fox population increase, Switzerland. Emerg Infect Dis. 2007;13:878-82 pubmed
  9. Craig P. Epidemiology of human alveolar echinococcosis in China. Parasitol Int. 2006;55 Suppl:S221-5 pubmed
  10. el Malki H, El Mejdoubi Y, Souadka A, Mohsine R, Ifrine L, Abouqal R, et al. Predictive factors of deep abdominal complications after operation for hydatid cyst of the liver: 15 years of experience with 672 patients. J Am Coll Surg. 2008;206:629-37 pubmed publisher
    ..The aim of this study was to identify the predictive factors of DAC after LHC operation...
  11. Wauters O, Honore C, Detry O, Delwaide J, Demonty J, Leonard P, et al. [Alveolar echinococcosis]. Rev Med Liege. 2005;60:867-74 pubmed
    ..This article presents these cases, and reviews the clinical features of this parasitic disease...
  12. Yang Y, Ellis M, Sun T, Li Z, Liu X, Vuitton D, et al. Unique family clustering of human echinococcosis cases in a chinese community. Am J Trop Med Hyg. 2006;74:487-94 pubmed
    ..Although suggestive that host genotype might play a role in susceptibility to AE, this hypothesis requires further investigation...
  13. Demircan O, Baymus M, Seydaoglu G, Akinoglu A, Sakman G. Occult cystobiliary communication presenting as postoperative biliary leakage after hydatid liver surgery: are there significant preoperative clinical predictors?. Can J Surg. 2006;49:177-84 pubmed
    ..We investigated the clinical signs associated with the risk of occult CBC in the preoperative period by studying patients who developed biliary leakage after hydatid liver surgery...
  14. Jorgensen P, an der Heiden M, Kern P, Schöneberg I, Krause G, Alpers K. Underreporting of human alveolar echinococcosis, Germany. Emerg Infect Dis. 2008;14:935-7 pubmed publisher
    ..We found a 3-fold higher incidence of the disease than that shown by national surveillance data. We propose a revision of the reporting system to increase case ascertainment...
  15. Gelincik A, Ozseker F, Buyukozturk S, Colakoglu B, Dal M, Alper A. Recurrent anaphylaxis due to non-ruptured hepatic hydatid cysts. Int Arch Allergy Immunol. 2007;143:296-8 pubmed
    ..In extremely few studies, anaphylactic shock has been reported in patients without macroscopic rupture of the hydatid cysts...
  16. Yang Y, Craig P, Ito A, Vuitton D, Giraudoux P, Sun T, et al. A correlative study of ultrasound with serology in an area in China co-endemic for human alveolar and cystic echinococcosis. Trop Med Int Health. 2007;12:637-46 pubmed
    ..For US-confirmed cases, follow-up by US combined with serology is invaluable for studying the clinical progression of echinococcosis and for detecting recurrent cysts or reinfection post-treatment...
  17. el Malki H, Souadka A, El Mejdoubi Y, Zakri B, Benkabbou A, Mohsine R, et al. Surgery in intra-abdominal ruptured hydatid cyst. World J Surg. 2007;31:1525; author reply 1526-7 pubmed
  18. Daradkeh S, El Muhtaseb H, Farah G, Sroujieh A, Abu Khalaf M. Predictors of morbidity and mortality in the surgical management of hydatid cyst of the liver. Langenbecks Arch Surg. 2007;392:35-9 pubmed
    ..The aim of this study is to find out possible predictors for this high mortality and morbidity...
  19. el Malki H, El Mejdoubi Y, Mohsine R, Ifrine L, Belkouchi A. [Intraperitoneal perforation of hepatic hydatid cyst]. Gastroenterol Clin Biol. 2006;30:1214-6 pubmed
    ..The occurrence of a sclerosing peritonitis is fortunately an exceptional situation whose surgical management is very delicate...
  20. Safioleas M, Misiakos E, Kouvaraki M, Stamatakos M, Manti C, Felekouras E. Hydatid disease of the liver: a continuing surgical problem. Arch Surg. 2006;141:1101-8 pubmed
    ..To study the results of different surgical strategies in the treatment of liver hydatid disease...
  21. Schnitzler J, Schöneberg I, Altmann D, Alpers K, Krause G. [Echinococcosis in Germany. Notifications under the Protection Against Infection Act (2001-2004)]. MMW Fortschr Med. 2007;149:47 pubmed
  22. Bruzinskaite R, Marcinkute A, Strupas K, Sokolovas V, Deplazes P, Mathis A, et al. Alveolar echinococcosis, Lithuania. Emerg Infect Dis. 2007;13:1618-9 pubmed publisher
  23. Charfi S, Ayadi L, Toumi N, Frikha F, Daoud E, Makni S, et al. Cystic undifferentiated sarcoma of liver in children: a pitfall diagnosis in endemic hydatidosis areas. J Pediatr Surg. 2008;43:E1-4 pubmed publisher
    ..Adjuvant chemotherapy was instituted. She remained well at 11 months of follow-up. Cystic appearance is a usual finding in UES. Differential diagnosis with hydatid cyst may be problematic in endemic hydatidosis areas...
  24. Aydin U, Yazici P, Onen Z, Ozsoy M, Zeytunlu M, Kilic M, et al. The optimal treatment of hydatid cyst of the liver: radical surgery with a significant reduced risk of recurrence. Turk J Gastroenterol. 2008;19:33-9 pubmed
    ..In this study, we aimed to compare the efficacy of radical surgical procedures and conservative interventions with respect to recurrence rates...
  25. Priego P, Nuno J, López Hervás P, López Buenadicha A, Peromingo R, Die J, et al. [Hepatic hydatidosis. Radical vs. conservative surgery: 22 years of experience]. Rev Esp Enferm Dig. 2008;100:82-5 pubmed
    ..The aim of the study was to evaluate the results obtained with the treatment of this condition after two decades according to surgical procedure type...
  26. Stefaniak J. [Guidelines for diagnosis and treatment of liver alveococcosis caused by Echinococcus multilocularis]. Wiad Parazytol. 2007;53:189-94 pubmed
    ..The patients were treated by radical surgery with concomitant long-term intensive chemotherapy with albendazole...
  27. Bedioui H, Nouira K, Ayadi S, Daghfous A, Bakhtri M, Ksantini R, et al. Budd-Chiari syndrome secondary to hepatic echinococcosis. Gastroenterol Clin Biol. 2007;31:721-4 pubmed
    ..The purpose of this study was to report the clinical features, radiological investigations and therapeutic management...
  28. Kamiya M, Trinipil Lagapa J, Oku Y. Research on targeting sources of alveolar echinococcosis in Japan. Comp Immunol Microbiol Infect Dis. 2007;30:427-48 pubmed
    ..The novel concept of "endogenous development" by local resident volunteers towards sustainable control of echinococcosis is stressed...
  29. el Malki H, Dziri C, El Mejdoubi Y, Souadka A, Zakri B, Mohsine R, et al. Why fine-needle aspiration cytology is not an adequate diagnostic method for liver hydatid cyst. Arch Surg. 2007;142:690; author reply 690-1 pubmed
  30. Bresson Hadni S, Delabrousse E, Blagosklonov O, Bartholomot B, Koch S, Miguet J, et al. Imaging aspects and non-surgical interventional treatment in human alveolar echinococcosis. Parasitol Int. 2006;55 Suppl:S267-72 pubmed
    ..It is also very useful in inoperable patients to overcome similar infectious episodes...
  31. Al Bahrani A, Al Maiyah M, Ammori B, Al Bahrani Z. Factors predictive of frank intrabiliary rupture in patients with hepatic hydatid cysts. Hepatogastroenterology. 2007;54:214-7 pubmed
    ..Frank intrabiliary rupture (IBR) is a serious complication that occurs in 3-17% of patients. The aim of this study was to identify independent predictors of frank IBR of hepatic hydatid cysts (HHC)...
  32. De Werra C, Condurro S, Tramontano S, Perone M, Donzelli I, Di Lauro S, et al. Hydatid disease of the liver: thirty years of surgical experience. Chir Ital. 2007;59:611-25 pubmed
    ..The utility of percutaneous treatment remains confined to limited indications, such as laparoscopy...
  33. Agaoglu N, Turkyilmaz S, Arslan M. Surgical treatment of hydatid cysts of the liver. Br J Surg. 2003;90:1536-41 pubmed
    ..028). Two recurrences were observed. Surgery combined with medical treatment by albendazole is effective in the eradication of hepatic hydatid disease and in the prevention of local recurrence. ..
  34. Bickel A, Loberant N, Singer Jordan J, Goldfeld M, Daud G, Eitan A. The laparoscopic approach to abdominal hydatid cysts: a prospective nonselective study using the isolated hypobaric technique. Arch Surg. 2001;136:789-95 pubmed
    ..The isolated hypobaric laparoscopic technique described provides a safe and efficacious approach to almost all types of abdominal hydatid cysts and takes advantage of the recognized benefits of the laparoscopic approach. ..
  35. Bilsel Y, Bulut T, Yamaner S, Buyukuncu Y, Bugra D, Akyuz A, et al. ERCP in the diagnosis and management of complications after surgery for hepatic echinococcosis. Gastrointest Endosc. 2003;57:210-3 pubmed
    ..In some cases, a biliary prosthesis may be required. Endoscopic sphincterotomy also enables clearing of the bile ducts of hydatid remnants. ..
  36. Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg. 2001;25:21-7 pubmed
    ..Type III cysts can be managed either way depending on the presence of drainable content. We believe that the laparoscopic approach should be limited to noncomplicated cysts. ..
  37. Buttenschoen K, Carli Buttenschoen D. Echinococcus granulosus infection: the challenge of surgical treatment. Langenbecks Arch Surg. 2003;388:218-30 pubmed
    ..Pericystectomy should be used for peripherally located liver cysts that are surrounded by parenchyma only partially. Ultrasonic classification of the parasitic lesion should be used as a guideline for therapeutic measures. ..
  38. Ertem M, Karahasanoglu T, Yavuz N, Erguney S. Laparoscopically treated liver hydatid cysts. Arch Surg. 2002;137:1170-3 pubmed
    ..Laparoscopic hepatic hydatid surgery is a safe and effective method in selected patients. Further studies should be encouraged in this field because there is no universally accepted standard technique. ..
  39. Cirenei A, Bertoldi I. Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg. 2001;25:87-92 pubmed
    ..2%) versus one (0.9%) (p < 0.01). Hence surgical treatment that removes all of the pericyst and preservation of the nonpathologic liver are important. ..
  40. Alonso Casado O, Moreno Gonzalez E, Loinaz Segurola C, Gimeno Calvo A, Gonzalez Pinto I, Perez Saborido B, et al. Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepatogastroenterology. 2001;48:235-43 pubmed
    ..This makes it the technique of choice over others such as partial resection, PAIR or laparoscopy. ..
  41. Yorganci K, Sayek I. Surgical treatment of hydatid cysts of the liver in the era of percutaneous treatment. Am J Surg. 2002;184:63-9 pubmed
    ..It seems that routine use of endoscopic retrograde cholangiography in the preoperative period and more efforts to perform radical procedures are two major determinants in the successful treatment of theses complicated cases. ..
  42. Aggarwal S, Guleria S, Dinda A, Kumar L, Tarique S. Embryonal sarcoma of the liver mimicking a hydatid cyst in an adult. Trop Gastroenterol. 2001;22:141-2 pubmed
    ..The present report describes a sixteen year old girl who presented with a large hepatic mass mimicking a hydatid cyst: clinically, radiologically and on serology. ..
  43. Vicente E, Meneu J, Hervas P, Nuno J, Quijano Y, Devesa M, et al. Management of biliary duct confluence injuries produced by hepatic hydatidosis. World J Surg. 2001;25:1264-9 pubmed
    ..Conservative surgical approaches (partial cystectomy and cystojejunostomy) are the treatments of choice. Radical surgery is often a serious matter. ..
  44. Ormeci N, Soykan I, Bektas A, Sanoğlu M, Palabiyikoglu M, Hadi Yasa M, et al. A new percutaneous approach for the treatment of hydatid cysts of the liver. Am J Gastroenterol. 2001;96:2225-30 pubmed
    ..Percutaneous treatment of hydatid cysts of the liver offers good results and should be the first choice, especially for patients who are contraindicated to surgery. ..
  45. Sréter T, Széll Z, Egyed Z, Varga I. Echinococcus multilocularis: an emerging pathogen in Hungary and Central Eastern Europe?. Emerg Infect Dis. 2003;9:384-6 pubmed
    ..This parasite may be spreading eastward because the population of foxes has increased as a consequence of human interventions, and this spread may result in the emergence of alveolar echinococcosis in Central Eastern Europe...
  46. Niścigorska J, Sluzar T, Marczewska M, Karpinska E, Boron Kaczmarska A, Moranska I, et al. Parasitic cysts of the liver - practical approach to diagnosis and differentiation. Med Sci Monit. 2001;7:737-41 pubmed
    ..8%). The remaining subjects, excluding one patient who underwent surgical treatment, received repeated treatment with imidazole derivatives (Zentel or Vermox). ..
  47. Bresson Hadni S, Koch S, Beurton I, Vuitton D, Bartholomot B, Hrusovsky S, et al. Primary disease recurrence after liver transplantation for alveolar echinococcosis: long-term evaluation in 15 patients. Hepatology. 1999;30:857-64 pubmed
    ..BZM therapy seems to stabilize residual foci. Anti-Eg immunoglobulin G (IgG) follow-up is the most useful test for early diagnosis of parasite recurrence. ..
  48. Nahmias J, Goldsmith R, Soibelman M, el On J. Three- to 7-year follow-up after albendazole treatment of 68 patients with cystic echinococcosis (hydatid disease). Ann Trop Med Parasitol. 1994;88:295-304 pubmed
  49. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence?. World J Surg. 2004;28:731-6 pubmed
    ..Percutaneous drainage associated with albendazole therapy is safe and efficient in selected patients (level II evidence, grade B recommendation). The level of evidence is low concerning treatment of complicated cysts. ..
  50. Zaouche A, Haouet K, Jouini M, El Hachaichi A, Dziri C. Management of liver hydatid cysts with a large biliocystic fistula: multicenter retrospective study. Tunisian Surgical Association. World J Surg. 2001;25:28-39 pubmed
    ..Radical methods constituted operations that had excellent results, but they were feasible in only 10% of the cases. ..
  51. Kern P, Bardonnet K, Renner E, Auer H, Pawlowski Z, Ammann R, et al. European echinococcosis registry: human alveolar echinococcosis, Europe, 1982-2000. Emerg Infect Dis. 2003;9:343-9 pubmed
  52. Skroubis G, Vagianos C, Polydorou A, Tzoracoleftherakis E, Androulakis J. Significance of bile leaks complicating conservative surgery for liver hydatidosis. World J Surg. 2002;26:704-8 pubmed
    ..Bile leakage, representing a significant complication following conservative operations for hepatic hydatidosis, can be effectively treated conservatively or endoscopically, not justifying more aggressive surgical approaches...
  53. Kayaalp C, Sengul N, Akoglu M. Importance of cyst content in hydatid liver surgery. Arch Surg. 2002;137:159-63 pubmed
    ..Therefore, complicated and uncomplicated cysts should be considered different forms of the disease and evaluated differently. ..
  54. Kern P, Ammon A, Kron M, Sinn G, Sander S, Petersen L, et al. Risk factors for alveolar echinococcosis in humans. Emerg Infect Dis. 2004;10:2088-93 pubmed
    ..Measures that prevent accidental swallowing of possibly contaminated material during farming or adequate deworming of pet animals might reduce the risk for alveolar echinococcosis. ..
  55. Schipper H, Lameris J, van Delden O, Rauws E, Kager P. Percutaneous evacuation (PEVAC) of multivesicular echinococcal cysts with or without cystobiliary fistulas which contain non-drainable material: first results of a modified PAIR method. Gut. 2002;50:718-23 pubmed
    ..2 (1-4) cm) (p=0.068). PEVAC is a safe and effective method for percutaneous treatment of multivesicular echinococcal cysts with or without cystobiliary fistulas which contain non-drainable material. ..
  56. Haddad M, Birjawi G, Khouzami R, Khoury N, El Zein Y, Al Kutoubi A. Unilocular hepatic echinococcal cysts: sonography and computed tomography findings. Clin Radiol. 2001;56:746-50 pubmed
    ..The aim of this descriptive study is to elucidate distinctive imaging findings that allow a diagnosis of HEC...
  57. Menezes da Silva A. Hydatid cyst of the liver-criteria for the selection of appropriate treatment. Acta Trop. 2003;85:237-42 pubmed
    ..If there is evidence that the cysts contents are still viable PAIR may be indicate. If PAIR is not possible, surgery is the method of choice. Cysts type 5 do not require treatment...
  58. Macpherson C, Milner R. Performance characteristics and quality control of community based ultrasound surveys for cystic and alveolar echinococcosis. Acta Trop. 2003;85:203-9 pubmed
    ..Community based surveys must adhere to the highest ethical standards and the outcome of surveys should result in appropriate treatment and follow-up strategies for all infected individuals and suspected cases found during the surveys...
  59. Al Shareef Z, Hamour O, Al Shlash S, Ahmed I, Mohamed A. Laparoscopic treatment of hepatic hydatid cysts with a liposuction device. JSLS. 2002;6:327-30 pubmed
    ..We describe herein a surgical technique, whereby we use a liposuction device for the laparoscopic treatment of hepatic hydatid cysts (HHC)...
  60. Kayaalp C, Bzeizi K, Demirbag A, Akoglu M. Biliary complications after hydatid liver surgery: incidence and risk factors. J Gastrointest Surg. 2002;6:706-12 pubmed
  61. Akgun Y, Yilmaz G. Efficiency of obliteration procedures in the surgical treatment of hydatid cyst of the liver. ANZ J Surg. 2004;74:968-73 pubmed
    ..The aim of the present study is to evaluate the value of clinical, physical and laboratory findings and to discuss the diagnostic and therapeutic options in 250 patients with HCL...
  62. Sinha R, Sharma N. Abdominal hydatids: a minimally invasive approach. JSLS. 2001;5:237-40 pubmed
    ..Less invasive procedures may thus be logical alternatives...
  63. Haddad M, Al Awar G, Huwaijah S, Al Kutoubi A. Echinococcal cysts of the liver: a retrospective analysis of clinico-radiological findings and different therapeutic modalities. Clin Imaging. 2001;25:403-8 pubmed
    ..8%). HEC are best treated by nonsurgical minimally invasive techniques combined with adjuvant antihelmintic chemotherapy, while surgery should be reserved for complicated HEC by intraperitoneal rupture...
  64. Altinli E, Saribeyoglu K, Pekmezci S, Uras C, Tasci H, Akcal T. An effective omentoplasty technique in laparoscopic surgery for hydatid disease of the liver. JSLS. 2002;6:323-6 pubmed
  65. Sielaff T, Taylor B, Langer B. Recurrence of hydatid disease. World J Surg. 2001;25:83-6 pubmed
    ..As with the treatment of primary disease, the preservation of liver function and minimizing the risk to the patient remain the guiding principles of therapy of local recurrence...
  66. Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa C. Hydatid disease: radiologic and pathologic features and complications. Radiographics. 2000;20:795-817 pubmed
    ..CT allows precise assessment of osseous lesions, whereas MR imaging is superior in demonstrating neural involvement. Familiarity with atypical manifestations of hydatid disease may be helpful in making a prompt, accurate diagnosis...
  67. Ammori B, Jenkins B, Lim P, Prasad K, Pollard S, Lodge J. Surgical strategy for cystic diseases of the liver in a western hepatobiliary center. World J Surg. 2002;26:462-9 pubmed
    ..Unilobar Caroli's disease may be resected, whereas bilateral disease requires early liver transplantation owing to the high risk of malignancy. Transplantation is a reserved option in patients with extensive APLD...
  68. Manterola C, Fernandez O, Munoz S, Vial M, Losada H, Carrasco R, et al. Laparoscopic pericystectomy for liver hydatid cysts. Surg Endosc. 2002;16:521-4 pubmed
    ..The laparoscopic approach for managing of liver echinococcosis is a controversial issue because of scarce experience worldwide. The aim of this report is to describe the technical details of our laparoscopic method and present our results...
  69. Bartholomot G, Vuitton D, Harraga S, Shi D, Giraudoux P, Barnish G, et al. Combined ultrasound and serologic screening for hepatic alveolar echinococcosis in central China. Am J Trop Med Hyg. 2002;66:23-9 pubmed
    ..A typical lesion of progressive AE was found in 84 subjects (3.4%). Serologies were positive in 77 (96%) of 80 of patients who had lesions typical of progressive AE. Ultrasound is useful for screening for AE in endemic regions...
  70. Chowbey P, Shah S, Khullar R, Sharma A, Soni V, Baijal M, et al. Minimal access surgery for hydatid cyst disease: laparoscopic, thoracoscopic, and retroperitoneoscopic approach. J Laparoendosc Adv Surg Tech A. 2003;13:159-65 pubmed
    ..Minimal access surgery is a safe, effective, and viable option for the management of selected patients with hydatid cysts in various locations, such as the liver, lung, and retroperitoneum...
  71. Craig P. Echinococcus multilocularis. Curr Opin Infect Dis. 2003;16:437-44 pubmed
    ..The present review summarizes the background to this helminthic infection and recent contributions in areas of pathology, diagnosis, treatment and transmission...
  72. Smego R, Bhatti S, Khaliq A, Beg M. Percutaneous aspiration-injection-reaspiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis. 2003;37:1073-83 pubmed
    ..0 days for group 2 (P<.001). Compared with surgery, PAIR plus chemotherapy is associated with greater clinical and parasitologic efficacy; lower rates of morbidity, mortality, and disease recurrence; and shorter hospital stays...
  73. Myjak P, Nahorski W, Pietkiewicz H, von Nickisch Rosenegk M, Stolarczyk J, Kacprzak E, et al. Molecular confirmation of human alveolar echinococcosis in Poland. Clin Infect Dis. 2003;37:e121-5 pubmed
    ..The same tests clearly distinguished between AE and cystic echinococcosis, which is caused by Echinococcus granulosus. These data are unequivocal proof that human infections with E. multilocularis occur in Poland...
  74. Filippou D, Kolimpiris C, Anemodouras N, Rizos S. Modified capitonage in partial cystectomy performed for liver hydatid disease: report of 2 cases. BMC Surg. 2004;4:8 pubmed
    ..Several techniques have been described in liver hydatid disease surgery, with most well known partial cystectomy, capitonage and introflexion...
  75. Amahzoune M, El Malki H, Benkhraba K, Mohcine R, Ifrine L, Belkouchi A, et al. [Recurred hydatid cyst of the thyroid: a case report]. Ann Endocrinol (Paris). 2004;65:469-71 pubmed
    ..Cystectomy, isthmolobectomy or sub-total thyroidectomy may be indicated. Resection of the prominent dome may be required in the event of recurrence...
  76. Sayek I, Tirnaksiz M, Dogan R. Cystic hydatid disease: current trends in diagnosis and management. Surg Today. 2004;34:987-96 pubmed
    ..We reviewed the current trends in the diagnosis and management of cystic echinococcosis, with special emphasis on hepatic and pulmonary involvement...