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[Hepatic resection for alveolar echinococcosis].
C Partensky1, P J Valette, P M Bret
1Service de Chirurgie digestive, hôpital E.-Herriot, Lyon.
Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1991
Summary
Radical liver resection offers the best outcome for alveolar echinococcosis. Non-radical resection may be considered when radical surgery is not feasible, potentially followed by percutaneous procedures.
Area of Science:
- Hepatology
- Parasitology
- Surgical Oncology
Context:
- Alveolar echinococcosis is a severe parasitic liver disease.
- Liver resection is a primary treatment modality.
- This study reviews surgical outcomes from 1982-1991.
Purpose:
- To evaluate the efficacy of radical versus non-radical liver resection for alveolar echinococcosis.
- To determine the long-term outcomes and survival rates based on surgical approach.
Summary:
- Twenty patients with liver alveolar echinococcosis underwent resection.
- Nine patients had radical resection, all surviving with 8 disease-free.
- Eleven patients had non-radical resection, with 3 disease-related deaths.
Impact:
- Radical liver resection is the preferred treatment for alveolar echinococcosis when feasible.
- Non-radical resection combined with percutaneous procedures is an alternative for extensive invasion.
- This approach may help avoid orthotopic liver transplantation in select cases.