| Surgery and long-term follow-up of hepatic echinococcosis outside endemic regions | |
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MedLine Citation:
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PMID: 11857098 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of the study was to characterize the therapeutic pathways in patients with echinococcal hydatids in an institution outside the endemic areas but with a high frequency of oncological hepatic surgery.PATIENTS AND METHODS: 44 patients with echinococcosis from 1987-1997 were reviewed. To evaluate the long-term results, clinical examination, chest x-ray, serology and liver ultrasound were performed. According to the study protocol 39 patients were evaluable. 89.7 % of the patients suffered from a primary disease, whereas 7.7 had a local recurrence and another 2.5 of patients showed a second site of manifestation after former operation. E. cysticus occurred in 82.5 %, E. alveolaris in 17.5 %. RESULTS: In 66.7 % of all cases a resecting procedure (pericystectomy, atypic resection, regular and extended hemihepatectomy) was performed. One patient underwent an orthotopic liver transplantation and in 10 % the surgical procedure included only an open drainage of the cysts. A simple cystectomy was performed in 23 %. One patient died from multiple organ failure as a consequence of local bleeding complications. The overall complication rate was 38.5 %, including the postoperative death and 7.7 % reoperations. The complication rate following pericystectomy was much higher than after simple cystectomy. At the time of follow-up (median 66 months) no patient showed a recurrent disease. CONCLUSION: Compared to reports from endemic regions the rate of resective procedures was much higher. The therapeutic strategy lead to excellent long-term results. Simple cystectomy should be preferred as pericystectomy showed a higher morbidity. |
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Authors:
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A Schmidt-Matthiesen; O Schott; A Encke |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: Zeitschrift f?r Gastroenterologie Volume: 40 ISSN: 0044-2771 ISO Abbreviation: Z Gastroenterol Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-02-21 Completed Date: 2002-04-26 Revised Date: 2010-03-23 |
Medline Journal Info:
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Nlm Unique ID: 0033370 Medline TA: Z Gastroenterol Country: Germany |
Other Details:
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Languages: ger Pagination: 51-7 Citation Subset: IM |
Affiliation:
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Klinik f?r Allgemein- und Gef?sschirurgie, Klinikum der Johann-Wolfgang-Goethe-Universit?t, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany. Schmidt-Matthiesen@em.uni-frankfurt.de |
Vernacular Title:
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Die chirurgische Behandlung der Leberechinokokkose ausserhalb von Endemiegebieten und ihre Sp?tergebnisse. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Echinococcosis, Hepatic / diagnosis, epidemiology, surgery* Endemic Diseases Female Follow-Up Studies Germany Humans Length of Stay Male Mebendazole / administration & dosage Middle Aged Postoperative Care Postoperative Complications / mortality, surgery Recurrence Reoperation Retrospective Studies Survival Rate |
| Chemical | |
Reg. No./Substance:
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31431-39-7/Mebendazole |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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