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Updated: Apr 8, 2026
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Surgical management of hydatid liver disease
Georgios K Georgiou1, Georgios D Lianos1, Avrilios Lazaros1
1Department of Surgery, University Hospital of Ioannina, Ioannina, Greece.
Background:
large retrospective clinical study describing the long-term experience of a single center in the surgical management of liver echinococcosis in an endemic area.
Methods:
232 patients were operated for liver hydatid disease between 1978 and 2012. Seventy-three patients (Group A) underwent a radical procedure (total pericystectomy or hepatectomy), while 145 (Group B) were treated with a more conservative method (partial cystectomy, with external drainage, omentoplasty or capitonnage) and 14 (Group C) received a combination of total and partial cystectomies. Morbidity, mortality, post-operative complications and recurrence rates in the long-term setting were retrospectively evaluated.
Results:
Group A patients were treated with zero mortality and a morbidity rate of 10.95%. No recurrence was documented. In Group B, mortality reached 2.76%, (p = 0.153 compared to Group A) morbidity 24.13% (p = 0.021) and there were 10 cases of relapse (6.9%) at three-year complete follow-up (p = 0.989). Extrahepatic sites of disease were not uncommon.
Discussion:
radical surgical procedures were better tolerated by patients and yielded better results in terms of recurrence rates.
