Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis.
Background Two surgical options are available for cystic echinococcosis (CE). The two principal approaches are radical (resection of the cyst) and conservative (evacuation of the cyst content and partial removal of the cyst capsule). Here, we describe a standardized endocystectomy technique for hepa...
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ftdoajarticles:oai:doaj.org/article:c5e67035a0da46549fe0c6133c7590dc 2024-02-11T10:01:32+01:00 Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. Mohammed Al-Saeedi Elias Khajeh Katrin Hoffmann Omid Ghamarnejad Marija Stojkovic Tim F Weber Mohammad Golriz Oliver Strobel Thomas Junghanss Markus W Büchler Arianeb Mehrabi 2019-06-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0007516 https://doaj.org/article/c5e67035a0da46549fe0c6133c7590dc EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0007516 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007516 https://doaj.org/article/c5e67035a0da46549fe0c6133c7590dc PLoS Neglected Tropical Diseases, Vol 13, Iss 6, p e0007516 (2019) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2019 ftdoajarticles https://doi.org/10.1371/journal.pntd.0007516 2024-01-21T01:35:50Z Background Two surgical options are available for cystic echinococcosis (CE). The two principal approaches are radical (resection of the cyst) and conservative (evacuation of the cyst content and partial removal of the cyst capsule). Here, we describe a standardized endocystectomy technique for hepatic echinococcosis. Subjects and methods Twenty-one patients (male/female: 4/3; median age: 28 years) with uncomplicated, isolated hepatic CE (cyst stages WHO CE1, 2, 3a, and 3b) that were treated with the standardized endocystectomy described in this paper. Before the operation and during the follow-up period (mean: 33.8 months, median: 24 months), patients underwent clinical and sonographical and/or magnetic resonance imaging assessment during regular visits managed by an interdisciplinary team. Results Forty-seven cysts were treated with the standardized endocystectomy technique. The median number of cysts per patient was two (range: 1-8). Nine patients (43%) had a single cystic lesion. The median operation time was 165 minutes and the median intraoperative bleeding volume was 200 mL. The median hospital stay was nine days (range: 6-28 days). Morbidity (Clavien-Dindo III) occurred in four patients (19%). No mortality and no recurrence were found during the median follow-up time of 24 months. Conclusions The standardized endocystectomy technique presented is a safe procedure with acceptable morbidity, no mortality, and without recurrences in our patient series. Important components of our CE management are interdisciplinary patient care, adequate diagnostic work-ups, and regular pre- and postoperative visits, including long-term follow-up for early and reliable capture of recurrences. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 13 6 e0007516 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Mohammed Al-Saeedi Elias Khajeh Katrin Hoffmann Omid Ghamarnejad Marija Stojkovic Tim F Weber Mohammad Golriz Oliver Strobel Thomas Junghanss Markus W Büchler Arianeb Mehrabi Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Two surgical options are available for cystic echinococcosis (CE). The two principal approaches are radical (resection of the cyst) and conservative (evacuation of the cyst content and partial removal of the cyst capsule). Here, we describe a standardized endocystectomy technique for hepatic echinococcosis. Subjects and methods Twenty-one patients (male/female: 4/3; median age: 28 years) with uncomplicated, isolated hepatic CE (cyst stages WHO CE1, 2, 3a, and 3b) that were treated with the standardized endocystectomy described in this paper. Before the operation and during the follow-up period (mean: 33.8 months, median: 24 months), patients underwent clinical and sonographical and/or magnetic resonance imaging assessment during regular visits managed by an interdisciplinary team. Results Forty-seven cysts were treated with the standardized endocystectomy technique. The median number of cysts per patient was two (range: 1-8). Nine patients (43%) had a single cystic lesion. The median operation time was 165 minutes and the median intraoperative bleeding volume was 200 mL. The median hospital stay was nine days (range: 6-28 days). Morbidity (Clavien-Dindo III) occurred in four patients (19%). No mortality and no recurrence were found during the median follow-up time of 24 months. Conclusions The standardized endocystectomy technique presented is a safe procedure with acceptable morbidity, no mortality, and without recurrences in our patient series. Important components of our CE management are interdisciplinary patient care, adequate diagnostic work-ups, and regular pre- and postoperative visits, including long-term follow-up for early and reliable capture of recurrences. |
format |
Article in Journal/Newspaper |
author |
Mohammed Al-Saeedi Elias Khajeh Katrin Hoffmann Omid Ghamarnejad Marija Stojkovic Tim F Weber Mohammad Golriz Oliver Strobel Thomas Junghanss Markus W Büchler Arianeb Mehrabi |
author_facet |
Mohammed Al-Saeedi Elias Khajeh Katrin Hoffmann Omid Ghamarnejad Marija Stojkovic Tim F Weber Mohammad Golriz Oliver Strobel Thomas Junghanss Markus W Büchler Arianeb Mehrabi |
author_sort |
Mohammed Al-Saeedi |
title |
Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. |
title_short |
Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. |
title_full |
Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. |
title_fullStr |
Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. |
title_full_unstemmed |
Standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. |
title_sort |
standardized endocystectomy technique for surgical treatment of uncomplicated hepatic cystic echinococcosis. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2019 |
url |
https://doi.org/10.1371/journal.pntd.0007516 https://doaj.org/article/c5e67035a0da46549fe0c6133c7590dc |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 13, Iss 6, p e0007516 (2019) |
op_relation |
https://doi.org/10.1371/journal.pntd.0007516 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0007516 https://doaj.org/article/c5e67035a0da46549fe0c6133c7590dc |
op_doi |
https://doi.org/10.1371/journal.pntd.0007516 |
container_title |
PLOS Neglected Tropical Diseases |
container_volume |
13 |
container_issue |
6 |
container_start_page |
e0007516 |
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1790597340363489280 |