Naslov
Value of diagnostic and treatment of liver echinococcosis - a prospective study

Autori
Čavka, Mislav ; Čavka, Vlatka ; Čavka, Hrvoje ; Bušić, Željko ; Brkljačić, Boris

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
3rd Croatian Students Summit (CROSS) Book of Abstracts / - Zagreb, 2007, 26-27

Skup
3rd Croatian Students Summit (CROSS)

Mjesto i datum
Zagreb, Hrvatska, 29.03.2007. - 01.04.2007

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
CT ; Ultrasound ; Echinococcosis ; Laparoscopic surgery and Hydatid cysts.

Sažetak
The surgical approach to liver echinococcosis is still a controversial issue. This study shows our results of surgical treatment of liver hydatid cysts during a 5-year period. METHODS: A prospective study of 20 patients operated on in a 5-year period (2002-2006), in the Department of abdominal surgery at the University hospital Dubrava, Zagreb, Croatia with hepatic hydatid cyst. All patients were pre- operatively treated with dalben. We have performed 4 different operative techniques as follows: Open total pericistectomy (TP) - 10 patients Papadimitriou, open partial pericistectomy) - 6 patients Laparoscopic pericistectomy (LP) - 2 patients Laparoscopic partial pericistectomy (LPP) - 2 patients RESULTS: Median operative time for OP was 153 minutes (range 120.0 – 180.0) and for Papadimitriou 103 minutes (range 60.0 – 180.0). Median operative time for LP was 107 (range 90.0 – 140.0) and for LPP 90 minutes. Patohistological analysis has showed that 15 % of patients had simplex cysts instead of hydatid. Ultrasound had 90 % of diagnostic certainty, CT 85 % and serological methods 75 %. CONCLUSION: Although our number of patients was not very large, we suggest that a certain number of patients receive unnecessary conservative therapy, which is very expensive and unpleasant for the patient (one month of hospitalization) so we would suggest further researches on this subject.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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