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[Surgical management of hepatic hydatid cysts in children]
Insights
Surgical treatment for pediatric hepatic hydatid cysts is effective, with one-stage surgery and sevoflurane anesthesia showing advantages. This approach minimizes complications and offers a low relapse rate for children.
Area of Science:
- Pediatric Surgery
- Parasitology
- Hepatobiliary Surgery
Background:
- Hepatic hydatid cysts are parasitic infections requiring surgical intervention.
- Multiple cysts in children present unique management challenges.
- Current treatment strategies aim to minimize morbidity and recurrence.
Purpose of the Study:
- To analyze the surgical outcomes of children with multiple hepatic hydatid cysts.
- To evaluate the efficacy of preoperative and postoperative management protocols.
- To compare anesthetic techniques for improved patient outcomes.
Main Methods:
- Retrospective analysis of pediatric patients (4-14 years) with multiple hepatic hydatid cysts.
- Preoperative preparation included desensitization, hemodynamic adjustment, and hepatoprotectors.
- General anesthesia utilized sevoflurane and propofol; stress hormone levels assessed.
- One-stage surgical management was prioritized; staged procedures for concurrent lung involvement.
- Postoperative care involved hepatoprotectors, enzymes, albendazole, and physiotherapy.
Main Results:
- Sevoflurane anesthesia demonstrated advantages over propofol, evidenced by stress hormone levels.
- One-stage surgical management was found to be more effective.
- No postoperative complications or lethal outcomes were recorded.
- A low recurrence rate of 2% (1 patient) was observed.
Conclusions:
- One-stage surgical treatment is the preferred approach for pediatric multiple hepatic hydatid cysts.
- Sevoflurane anesthesia offers benefits in managing surgical stress in these patients.
- Comprehensive preoperative and postoperative care contributes to excellent outcomes with minimal recurrence.
Abstract:
Analysis of surgical treatment of children with multiple hepatic hydatid cysts is presented. The age of patients was from 4 till 14 years. Desensibilization, hemodynamic adjustment and treatment with hepatoprotectors were used on purpose of preoperative preparation. The general anesthesia was carried out on the basis of sevofluran and propofol. Anesthesia with sevofluran has advantage. It was proved by definition of level of stress hormones. One-stage surgical management is more preferable. In case of combination with hydatid disease of lung term between the operations has made 2-3 weeks. Treatment with hepatoprotectors, enzymes, antiparasitic therapy with albendozol, physiotherapy were used in postoperative period. Postoperative complications, lethal outcomes were not observed. Relapse has been revealed at 1 (2%) patient.