Ambispective comparative study of two surgical strategies for liver hydatidosis.

World Journal of Gastroenterology : WJG
Jose M RamiaJorge García-Parreño

Abstract

To investigate the morbidity, mortality, recurrence and technical aspects of two distinct surgical strategies that were implemented in successive periods. Ninty-two patients with 113 cysts underwent surgical procedures. The study was divided into 2 periods. Data from first period (P1) were compiled retrospectively. The surgical strategy was conservative surgery. The second period (P2) included a prospective study conducted according to a protocol following the criterion that radical procedures should be performed whenever it is technically feasible. Patients of both periods showed no statistically significant differences in age, gender, cyst location or mortality. Among the P2 group, patients exhibited more preoperative jaundice, and cyst size was smaller (P < 0.05). Changes in surgical strategy increased the rate of radical surgery, decreases morbidity and in-hospital stay (P < 0.001). A negative result in P2 was the death of two old patients (4.8%) who had undergone conservative treatments. The rate of radical surgery in P2 was around 75%. Radical surgery should be the technique of choice whenever it is feasible, because it diminishes morbidity and in-hospital stay. Conservative surgery must be employed only in selected cases.

References

Apr 25, 2000·World Journal of Surgery·B GollacknerR Steininger
Jul 2, 2003·Swiss Medical Weekly·Roland ChautemsGilles Mentha
Dec 3, 2003·The British Journal of Surgery·N AgaogluM K Arslan
Mar 30, 2004·The British Journal of Surgery·A-W N Meshikhes
Oct 1, 2004·World Journal of Surgery·Chadli DziriAbe Fingerhut
Jun 1, 2005·Journal of the American College of Surgeons·Lucas McCormackPierre-Alain Clavien
Oct 6, 2006·Langenbeck's Archives of Surgery·Salam DaradkehMahmoud Abu-Khalaf
Nov 23, 2006·Archives of Surgery·Michael C SafioleasEvangelos S Felekouras
Sep 18, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kristin L Mekeel, Alan W Hemming
Oct 6, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Osman YükselHasan Bostanci
Apr 5, 2008·Journal of the American College of Surgeons·Hadj Omar El MalkiAbdelkader Belkouchi
Jan 13, 2009·Clinical Imaging·Hiizir Yakup AkyildizHüseyin Esin
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Sep 15, 2009·Liver International : Official Journal of the International Association for the Study of the Liver·Mario A SecchiCarlos Ledesma
Feb 25, 2010·World Journal of Gastroenterology : WJG·Sami AkbulutOmer Satici

❮ Previous
Next ❯

Citations

Jun 4, 2014·World Journal of Surgery·J M RamiaJ García-Parreño
Jul 11, 2013·World Journal of Surgery·Jose M RamiaMiguel A Suarez
Apr 9, 2013·Journal of Visceral Surgery·J M RamiaV Arteaga
Aug 24, 2013·Cirugía española·José Manuel RamiaJorge García-Parreño
Nov 2, 2018·Medical Care Research and Review : MCRR·Lauren Hersch Nicholas, Shannon Wu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.