Euroasian Journal of Hepato-Gastroenterology

Register      Login

VOLUME 6 , ISSUE 2 ( July-December, 2016 ) > List of Articles

ORIGINAL ARTICLE

Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan

Rauf M Aghayev

Citation Information : M Aghayev R. Liver Echinococcosis complicated with Lesions of Bile Ducts in Azerbaijan. Euroasian J Hepatogastroenterol 2016; 6 (2):125-130.

DOI: 10.5005/jp-journals-10018-1183

License: CC BY-NC 4.0

Published Online: 01-07-2016


Abstract

A total of 302 patients with liver echinococcosis (LE) complicated by lesions of bile duct during 1988 to 2015 were analyzed. The patients were divided into two groups. In the first group, 227 patients were included with lesions of segmental bile ducts in the form of cystobiliary and bilio-bronchial fistulas. In the second group, 75 patients with lesions of hepatic bile were enrolled. Diagnosis of LE and its complications was made by ultrasonography and computed tomography (CT). Surgical treatment included echinococcectomy with complete liquidation of a residual cavity (35.1%), echinococcectomy with suturing (46.0%), external drainage of a residual cavity (7.3%), pericystectomy (8.6%), and resection of a liver (3.0%). Postoperative complications related to operative intervention developed in 29 patients. Lethal outcomes took place in 6 cases (2.0%). The analysis has shown that the form of bile duct lesions, methods of surgical operation for liquidation of hydatid cysts, and its biliary complications had influenced the treatment outcome. More optimal results are received after complete liquidation of residual cavity in different ways and suturing of cystobiliary fistulas during operation. For prevention of complications related to the presence of residual cavity, laser processing of walls of a residual cavity by ozonized 17% hypertonic solution of NaCl was used and this procedure showed obvious (p < 0.05) advantages.


PDF Share
  1. Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis 2009 Mar;13(2):125-133
  2. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol 2012 Apr;18(13):1448-1458
  3. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg 2004 Aug;28(8): 731-736
  4. Surgery of echinococcosis. Moscow “Medicina”; Sophia, “Fizkultura i sport”; 1985. p. 1-215
  5. Surgical treatment of hydatid cysts of the liver. Br J Surg 2003 Dec;90(12):1536-1541
  6. Endoscopic management of biliary hydatid disease. Can J Surg 1996;39(4):287-292
  7. The surgical treatment of hepatic echinococcosis and its biliary complications. Minerva Chir 1993 Sep;48(18): 975-978
  8. Hidatidosis hepatica complicada: experiencia de un solo centro. Cir Pediatr 1998;11(1):30-36. Rauf M Aghayev 130 9. Vargas Serrano B. Hepatic hydatid cyst communicating with biliary tract. J Clin Ultrasound 1995 May;23(4):259-262
  9. Diagnostic and treatment of liver echinococcosis, complicated with rupture in bile ducts. Khirurgia (Moscow) 1991 Dec;12:87-91
  10. Surgical treatment of hydatid disease of the liver: review of 304 cases. Arch Surg 1999 Feb;134(2):166-169
  11. Hydatid cyst of liver. Postgrad Med J 2003 Feb;29(9):113-114
  12. Hydatid disease: a review and update. Curr Anaesth Crit Care 2004 Aug;15(3):173-183
  13. Hydatidosis experience with hepatic and pulmonary disease. J Pak Med Assoc 1998 Jul;48(7):205-207
  14. Surgical treatment of ruptures of hydatid cysts of the liver. J Chir 1994 Aug-Sep;131(8-9):363-370
  15. Le kystehydatique du foie. J Chir 2004;141(6): 381-389
  16. Surgical management of hydatid disease of the liver: a military experience. J R Army Med Corps 1998 Oct;144(3):139-143
  17. Rupture of the hydatid disease of the liver into the biliary tracts. Dig Surg 1998;15(1):25-29
  18. Management of liver hydatid cysts with a large biliocystic fistula: multicenter retrospective study. Tunisian Surgical Association. World J Surg 2001 Jan;25(1):28-39.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.