Postoperative recurrence of cystic hydatidosis: Management and outcome

Authors

  • Manouchehr Aghajanzadeh Department of Thoracic Surgery, Inflammatory Lung Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Ehsan Hajipour Jafroudi Department of Thoracic Surgery, Inflammatory Lung Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Ali Alavi Foumani Department of Pulmonology Inflammatory Lung Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Alireza Jafarnejad Department of Pulmonology, Inflammatory Lung Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Azita Tangestani nejad Department of Pulmonology, Inflammatory Lung Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Yousha Pourahmadi Department of Internal Medicine, Inflammatory Lung Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  • Mahsa Mousazadeh Department of Internal Medicine, Inflammatory Lung Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran

Keywords:

Hydatid cyst, hydatosis, hydatid cyst management, recurrence of hydatid cyst

Abstract

Surgical treatment is known as the basic treatment for hydatid cyst in all human body organs. The recurrence rate with all type of surgery appears to be high (4.6%–22.0%) within 5 years .The purpose of this study was to report our recurrence rate , management of recurrent hydatid cysts, evaluating the methods for diagnosis of recurrence, the site of  recurrence (surgical site, next to the surgical site others organs), and therapeutic methods for the cases. We retrospectively reviewed the medical records of all patients who underwent surgery for hydatid cystic for all organs between 2006 and 2019. Generally 482liver hydatid cysts, 289 pulmonary hydatid cysts, and 34 extra liver and pulmonary cysts underwent surgery between 2d and 19th years of our study; however, follow-ups were conducted entirely for 584 (72.5%) of cases. The recurrence of cysts were detected in 98 patients (16.7%). Among the recurrence cases in the liver 56  (11.6%) of them appeared next to the surgical site, while only 10 cases (2%) were found remote to the surgical site. Moreover, only one case was recurred on the surgical site. There were 14 (4.84%) cases of the recurrence in the same lobe and 15 (5%) cases of the recurrence in the other lobe between the recurrence cases of the lung, however, in 8 cases hydatid cysts were recurred in liver and lung simultaneously. Elven cases were found in other organs. Eighty eight cases underwent the surgery while the others (n=10) were treated by oral Albendazole therapy. Removal of the cyst contents plus partial pericystectomy and local sterilization with external drainage plus chemotherapy is recommended for both primary and secondary operations with satisfactory long-term results.

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Published

2022-05-29

How to Cite

Aghajanzadeh, M. ., Hajipour Jafroudi, E., Ali Alavi Foumani, Alireza Jafarnejad, Azita Tangestani nejad, Yousha Pourahmadi, & Mahsa Mousazadeh. (2022). Postoperative recurrence of cystic hydatidosis: Management and outcome. International Journal of Life Sciences, 10(2), 101–108. Retrieved from https://ijlsci.in/ls/index.php/home/article/view/585

Issue

Vol. 10 No. 2 (2022): International Journal of Life Sciences

Section

Research Articles

License

Copyright (c) 2022 Manouchehr Aghajanzadeh, Ehsan Hajipour Jafroudi, ali alavi foumani, alireza jafarnejad, azita tangestani nejad, yousha pourahmadi, mahsa mousazadeh

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