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Review
. 2023 Oct 1;36(5):348-352.
doi: 10.1097/QCO.0000000000000955. Epub 2023 Aug 4.

Surgical management of cystic echinococcosis of the liver

Cesar G Berto  1 , Peter Liou  2 , Christina M Coyle  3 , Jean C Emond  2
Affiliations
Review

Surgical management of cystic echinococcosis of the liver

Cesar G Berto et al. Curr Opin Infect Dis. .

Abstract

Purpose of review: Cystic echinococcosis is a zoonotic infection frequently involving the liver. Treatment options, including surgery, are decided based on the staging of the disease.

Recent findings: Ultrasound is the cornerstone for diagnosis, staging, and follow-up of cystic echinococcosis. MRI can help to evaluate for cystobiliary complications and planning of the surgery. The two main surgical approaches for cystic echinococcosis include a radical approach, which entails a partial hepatectomy and total pericystectomy, and a conservative approach or endocystectomy. Recent data suggest a conservative approach is well tolerated with acceptable morbidity and no mortality. Recurrences in centers with experience are rare. Data on laparoscopic surgery is emerging, but long-term follow-up still needs to be improved.

Summary: Surgical treatment options should be carefully evaluated according to the cystic echinococcosis disease staging. A multidisciplinary approach, including diagnostic and interventional radiology, abdominal and liver surgery, and infectious diseases, results in better outcomes.

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References

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