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Hydatid disease in childhood.
Fehmi Celebi1, Ahmet A Balik, A Bedii Salman
1Department of General Surgery, Atatürk University School of Medicine, Erzurum, Turkey. fcelebi@atauni.edu.tr
Pediatric Surgery International
|November 5, 2002
Summary
Surgery remains a key treatment for pediatric liver hydatid disease (HDL). Omentoplasty and capitonnage are most effective for managing the cyst cavity, with lower complication rates than other methods.
Area of Science:
- Pediatric Surgery
- Hepatology
- Parasitology
Background:
- Hydatid disease of the liver (HDL) is a parasitic infection caused by Echinococcus tapeworms.
- Pediatric involvement requires specific surgical considerations due to anatomical differences and potential for growth disturbances.
Purpose of the Study:
- To review and compare the outcomes of various surgical treatment modalities for pediatric liver hydatid disease.
- To identify the most effective surgical techniques for managing the cyst cavity in children.
Main Methods:
- Retrospective review of 31 pediatric patients treated surgically for HDL between 1990 and 2000.
- Surgical procedures included unroofing plus tube drainage (UTD), capitonnage, omentoplasty, and pericystectomy.
- Analysis of complications such as cholangitis and biliary fistula associated with each modality.
Main Results:
- The most frequent symptoms were abdominal mass and right-upper-quadrant pain.
- Cysts were predominantly located in the right lobe of the liver; 8 patients had multiple hepatic cysts, and 5 had cysts in other organs.
- Unroofing plus tube drainage (UTD) resulted in 2 cases of cholangitis and 1 biliary fistula. Capitonnage led to 1 case of cholangitis.
Conclusions:
- Surgery remains a primary treatment modality for pediatric liver hydatid disease.
- Omentoplasty and capitonnage demonstrated the highest efficacy in managing the cyst cavity, suggesting they are preferred techniques.