title: Surgical treatment for hepatic alveolar echinococcosis: report of 50 cases.
abstract: OBJECTIVE
  The purpose of this study is to present the surgical treatment of hepatic alveolar echinococcosis and evaluate the treatment outcomes.
  
  
  METHODS
  A retrospective analysis was made on 50 patients admitted between 2000 and 2008. All the patients were divided into two groups, 26 patients for the radical surgery group and 24 for the palliative surgery group.
  
  
  RESULTS
  In the palliative surgery group, 10 patients died during the follow-up period, 2 patients presented with brain metastasis and 4 patients with lung metastasis, 1 patient had multiple lesions in the liver, 1 patient who received left hepatectomy had a new lesion in caudate lobe of the liver, 4 patients had postoperative jaundice, 3 had cholangitis and 4 patients had biliary leaks. There were also 3 patients lost in the follow-up period. In the radical surgery group, 22 patients were alive and asymptomatic without recurrence during the follow-up period, 3 patients had recurrent cholangitis and 4 patients had biliary leaks. Three patients were lost during the followup period in this group.
  
  
  CONCLUSIONS
  Radical resection appears to be best treatment of hepatic alveolar echinococcosis and palliative operation may cause a series of severe complications leading to death.
authors.affiliation: Department of Digestive abnd Vascular Surgery, Xinjiang Medical University, Urumqi, China.
authors.forename: Ahan
authors.initials: A
authors.lastname: Ayifuhan
authors.forename: Aji
authors.initials: A
authors.lastname: Tuerganaili
authors.forename: Cao
authors.initials: C
authors.lastname: Jun
authors.forename: Shao
authors.initials: S
authors.lastname: Ying-Mei
authors.forename: Liu
authors.initials: L
authors.lastname: Xiang-Wei
authors.forename: Wen
authors.initials: W
authors.lastname: Hao
mesh_terms: D000293:Adolescent; D000328:Adult; D004444:Echinococcosis, Hepatic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012008:Recurrence; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult