Radical surgical treatment of recurrent hepatic hydatidosis.
OBJECTIVE
The treatment of relapsing hydatidosis must aim at the reduction of both morbidity and mortality rates and the risk of new recurrences.


METHODS
Thirty-three patients with recurrence of hepatic ecchinococcosis were observed between January 1975 and May 2001. All selected patients received a first conservative surgical treatment, and recurrences developed in a period ranging from 1 to 46 years from the therapy. All patients with secondary hydatidosis were then submitted to radical surgical treatment. Ultrasound examinations, the first after 3 months from surgery, were performed to evaluate disease recurrence. Intraoperative morbidity and mortality were also evaluated.


RESULTS
No intraoperative mortality was encountered. Intraoperative and postoperative morbidity were 6% and 12% respectively. During follow-up, (mean duration 53 months) no recurrences were recorded.


CONCLUSIONS
Radical surgical approach is the best treatment of recurrent hydatid cysts as it represents a valid compromise between the need of a surgical radicality and a low intraoperative and postoperative morbidity.
Nardo
Bruno
B
Department of Surgery and Transplantation, University of Bologna, Italy.
Patriti
Alberto
A
Piazzese
Enrico
E
Cavallari
Giuseppe
G
Montalti
Roberto
R
Beltempo
Paolo
P
Bertelli
Riccardo
R
Puviani
Lorenza
L
Cavallari
Antonino
A
D000293:Adolescent; D000328:Adult; D004444:Echinococcosis, Hepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D014463:Ultrasonography