The Management of Liver Hydatid Cysts by Percutaneous Drainage

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dc.contributor.authorAygün, Erşan
dc.contributor.authorŞahin, Mustafa
dc.contributor.authorÖdev, Kemal
dc.contributor.authorVatansev, Celalettin
dc.contributor.authorAksoy, Faruk
dc.contributor.authorPaksoy, Yahya
dc.contributor.authorKartal, Adil
dc.contributor.authorKarahan, Ömer
dc.date.accessioned2020-03-26T16:37:46Z
dc.date.available2020-03-26T16:37:46Z
dc.date.issued2001
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: To investigate the effect of percutaneous drainage on liver hydatid cysts. Design: A retrospective case study. Setting: Department of Surgery, Selçuk University, Konya, Turkey. Patients: Forty-five patients with 83 liver hydatid cysts (types I and II according to the classification of Gharbi and colleagues) followed up for a mean of 30 months (range from 14 to 36 months). Intervention: The cysts were drained percutaneously with ultrasonographic guidance and then irrigated with 0.05% silver nitrate solution through a fine needle. Albendazole was administered 48 hours before percutaneous drainage and for 2 months after the procedure to prevent the implantation of spilled scolices. Main outcome measures: Complications of the procedure, decrease in size of the cyst cavity, recurrence and dissemination of the cysts. Results: All the cysts were treated successfully by percutaneous drainage. Anaphylactic shock developed in 1 (2.2 %) patient, and mild allergic reactions were observed in 2 (4.4 %) patients during the interventional procedure. Follow-up ultrasonography and CT demonstrated a statistically significant (p < 0.01) decrease in the mean cyst size. Recurrence and dissemination were not observed during the follow-up period. Conclusion: Percutaneous fine-needle aspiration and drainage is effective for managing cystic liver hydatid disease in selected cases.en_US
dc.description.abstractObjectif: Étudier l'effet du drainage percutané sur les kystes hydatiques du foie. Conception: Étude de cas rétrospective. Contexte Département de chirurgie, Université Selçuk, Konya, Turquie. Patients: Quarante-cinq patients qui avaient 83 kystes hydatiques (de types I et II selon la classification de Gharbi et ses collaborateurs) suivis pendant 30 mois en moyenne (intervalle de 14 à 36 mois). Intervention: On a drainé les kystes par voie percutanée et par guidage échographique et on les a irrigués ensuite au moyen d'une solution de nitrate d'argent à 0,05% injectée au moyen d'une aiguille fine. On a administré de l'albendazole 48 heures avant le drainage percutané et pendant deux mois après l'intervention pour prévenir l'implantation de scolex échappés. Principales mesures de résultats : Complications de l'intervention, réduction du volume de la cavité du kyste, réapparition et dissémina- tion des kystes. Résultats: Tous les kystes ont été traités avec succès par drainage percutané. Un (2.2%) des patients a été victime d'un choc anaphylactique et l'on a observé des réactions allergiques bénignes chez deux (4.4%) des patients pendant l'intervention. L'échographie et la tomographie de suivi ont révélé une diminution significative sur le plan statistique (p < 0,01) du volume moyen des kystes. On n'a pas observé de réapparition ni de dissémination pendant la période de suivi. Conclusion: L'aspiration et le drainage percutanés par aiguille fine constituent un moyen efficace de traiter les kystes hydatiques du foie dans certain cas,
dc.identifier.citationAygün, E., Şahin, M., Ödev, K., Vatansev, C., Aksoy, F., Paksoy, Y., Kartal, A., Karahan, Ö., (2001). The Management of Liver Hydatid Cysts by Percutaneous Drainage. Canadian Journal of Surgery, 44(3), 203-209.
dc.identifier.endpage209en_US
dc.identifier.issn0008-428Xen_US
dc.identifier.issue3en_US
dc.identifier.pmid11407831en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage203en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/17698
dc.identifier.volume44en_US
dc.identifier.wosWOS:000169253700011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAygün, Erşan
dc.institutionauthorŞahin, Mustafa
dc.institutionauthorÖdev, Kemal
dc.institutionauthorVatansev, Celalettin
dc.institutionauthorAksoy, Faruk
dc.institutionauthorPaksoy, Yahya
dc.institutionauthorKartal, Adil
dc.institutionauthorKarahan, Ömer
dc.language.isoenen_US
dc.relation.ispartofCanadian Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleThe Management of Liver Hydatid Cysts by Percutaneous Drainageen_US
dc.typeArticleen_US

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