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Wandering parasite: endoscopic management of hydatid cysts of abdomen encroaching thorax

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Abstract

Background

Minimal access surgery has opened avenues of hybrid approach for abdominal hydatid cysts extending into thorax. This approach of combined laparoscopy and thoracoscopy should be evaluated for its feasibility and efficacy.

Aim

Present prospective study was designed to highlight the feasibility and utility of endoscopic approach in the management of complex hydatid cyst of the liver and spleen extending into the thorax.

Material and methods

Patients undergoing combined Laparoscopy and thoracoscopy for abdominal hydatid cysts extending into thorax over a period of 4 years were included in the study. Their clinical features, investigations, imaging, treatment and duration of hospital stay were studied. Clinical outcomes were assessed with respect to morbidity and mortality using Calvien Dindo scale.

Results

A total of 15 patients were studied. All patients had thoracic hydatid cysts with liver involvement in 12, splenic involvement in 2, and both liver and spleen in 1 patient. The most common symptom was pain in the abdomen in 11 patients (73.3%) followed by lump in the abdomen in 2 patients (13.33%), and dyspnoea in 2 patients (13.33%). Computed Tomography was diagnostic in all patients. Most common type was Gomez type 1 (7 patients) followed by Gomez type II (3 Patient) and Gomez type III (2 patient). The mean operative time was 120 min. Mean hospital stay was 10 days. Pleural effusion being the commonest postoperative sequelae.

Conclusion

This endoscopic approach for liver and splenic hydatid cyst extending into thorax is feasible and averts morbidities of thoracotomy.

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References

  1. Moro P, Schantz PM (2009) Echinococcosis: a review. Int J Infect Dis 13(2):125–133. https://doi.org/10.1016/j.ijid.2008.03.037

    Article  CAS  PubMed  Google Scholar 

  2. Alexiou K (2012) Complications of hydatid cysts of the liver: spiral computed tomography findings. Gastroenterol Res 5(4):139. https://doi.org/10.4021/gr460e

    Article  Google Scholar 

  3. Eckert J, Gemmell MA, Meslin F-X, Pawłowski ZS. World Health Organization World Organisation for Animal Health WHO/OIE Manual on Echinococcosis in Humans and Animals: A Public Health Problem of Global Concern Edited By. http://www.oie.int

  4. Ammann RW, Eckert J (1996) Cestodes Echinococcus. Gastroenterol Clin N Am 25(3):655–689. https://doi.org/10.1016/S0889-8553(05)70268-5

    Article  CAS  Google Scholar 

  5. Celebi S, Basaranoglu M, Karaaslan H, Demir A (2006) A splenic hydatid cyst case presented with lumbar pain. Intern Med 45(17):1023–1024. https://doi.org/10.2169/internalmedicine.45.6015

    Article  PubMed  Google Scholar 

  6. Bartholomot B, Vuitton DA, Harraga S et al (2002) Combined ultrasound and serologic screening for hepatic alveolar Echinococcosis in central China. Am J Trop Med Hyg 66(1):23–29. https://doi.org/10.4269/ajtmh.2002.66.23

    Article  PubMed  Google Scholar 

  7. Filippou D, Tselepis D, Filippou G, Papadopoulos V (2007) Advances in liver echinococcosis: diagnosis and treatment. Clin Gastroenterol Hepatol 5(2):152–159. https://doi.org/10.1016/j.cgh.2006.08.017

    Article  CAS  PubMed  Google Scholar 

  8. Aletras H, Symbas PN (2000) Hydatid disease of the lung. In: Shields TW, LoCicero J, Ponn RB (eds) General thoracic surgery. Lippincott Williams and Wilkins, Philadelphia, pp 1113–1122

    Google Scholar 

  9. Halezeroglu S, Okur E, Tanyü MO (2012) Surgical management for hydatid disease. Thorac Surg Clin 22(3):375–385. https://doi.org/10.1016/j.thorsurg.2012.04.004

    Article  PubMed  Google Scholar 

  10. Isitmangil T, Toker A, Sebit S, Erdik O, Tunc H, Gorur R (2003) A novel terminology and dissemination theory for a subgroup of intrathoracic extrapulmonary hydatid cysts. Med Hypotheses 61:68–71. https://doi.org/10.1016/S0306-9877(03)00108-7

    Article  PubMed  Google Scholar 

  11. Gómez R, Moreno E, Loinaz C et al (1995) Diaphragmatic or transdiaphragmatic thoracic involvement in hepatic hydatid disease: surgical trends and classification. World J Surg 19(5):714–719. https://doi.org/10.1007/BF00295911

    Article  PubMed  Google Scholar 

  12. Arinc S, Kosif A, Ertugrul M et al (2009) Evaluation of pulmonary hydatid cyst cases. Int J Surg 7(3):192–195. https://doi.org/10.1016/j.ijsu.2008.11.003

    Article  PubMed  Google Scholar 

  13. Örmeci N, Soykan I, Palabiyikoğlu M et al (2002) A new therapeutic approach for treatment of hydatid cysts of the spleen. Dig Dis Sci 47(9):2037–2044. https://doi.org/10.1023/A:1019672828967

    Article  PubMed  Google Scholar 

  14. Smego RA, Bhatti S, Khaliq AA, Beg MA (2003) Percutaneous aspiration-injection-reaspiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis 37(8):1073–1083. https://doi.org/10.1086/378275

    Article  CAS  PubMed  Google Scholar 

  15. Belli L, del Favero E, Marni A, Romani F (1983) Resection versus pericystectomy in the treatment of hydatidosis of the liver. Am J Surg 145(2):239–242. https://doi.org/10.1016/0002-9610(83)90070-3

    Article  CAS  PubMed  Google Scholar 

  16. Belli L, Aseni P, Rondinara GF, Bertini M (1986) Improved results with pericystectomy in normothermic ischemia for hepatic hydatidosis. Surg Gynecol Obstet 163(2):127–132

    CAS  PubMed  Google Scholar 

  17. Usluer O, Ceylan KC, Kaya S, Sevinc S, Gursoy S (2010) Surgical management of pulmonary hydatid cysts: is size an important prognostic indicator? Texas Hear Inst J 37(4):429–434

    Google Scholar 

  18. Brown CJO (1958) Surgical management of hydatid cysts of the lung. Postgrad Med J 34(390):200–203. https://doi.org/10.1136/pgmj.34.390.200

    Article  PubMed  PubMed Central  Google Scholar 

  19. Aytaq A, Yurdakul Y, Olga R, Saylam A (1977) Pulmonary hydatid disease: report of 100 patients. Ann Thorac Surg 23:145. https://doi.org/10.1016/S0003-4975(10)64088-X

    Article  Google Scholar 

  20. Shields T, Locicero J, Ponn R, Rusch V (2000) General thoracic surgery. In: Aletras H, Symbas PN (eds) Hydatid disease of the lung, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 1113–1122

    Google Scholar 

  21. Xanthakis D, Efthimiadis M, Papadakis G et al (1972) Hydatid disease of the chest: report of 91 patients surgically treated. Thorax 27(5):517–528. https://doi.org/10.1136/thx.27.5.517

    Article  PubMed Central  Google Scholar 

  22. Krige JEJ, Beckingham IJ (2001) ABC of diseases of liver, pancreas, and biliary system: liver abscesses and hydatid disease. Br Med J 322(7285):537–540. https://doi.org/10.1136/bmj.322.7285.537

    Article  CAS  Google Scholar 

  23. Klingler PJ, Gadenstatter M, Schmid T, Bodner E, Schwelberger HG (1997) Treatment of hepatic cysts in the era of laparoscopic surgery. J Br Surg 84:438

    CAS  Google Scholar 

  24. Sayek I (2001) Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg 25:21–27. https://doi.org/10.1007/s002680020004

    Article  CAS  PubMed  Google Scholar 

  25. Yagci G, Ustunsoz B, Kaymakcioglu N et al (2005) Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg 29(12):1670–1679. https://doi.org/10.1007/s00268-005-0058-1

    Article  PubMed  Google Scholar 

  26. Demirci S, Eraslan S, Anadol E, Bozatli L (1989) Comparison of the results of different surgical techniques in the management of hydatid cysts of the liver. World J Surg 13(1):88–90. https://doi.org/10.1007/BF01671161

    Article  CAS  PubMed  Google Scholar 

  27. Türkçapar AG, Ersöz S, Güngör Ç, Aydinuraz K, Yerdel MA, Aras N (1997) Surgical treatment of hepatic hydatidosis combined with perioperative treatment with albendazole. Eur J Surg 163(12):923–928

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Grant Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India

    Ajay Bhandarwar, Amarjeet Tandur, Guru Bharadwaj, Soumya Chatnalkar, Amol Wagh & Girish Bakhshi

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  1. Ajay Bhandarwar
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  2. Amarjeet Tandur
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Correspondence to Guru Bharadwaj.

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Dr Ajay Bhandarwar, Dr Amarjeet Tandur, Dr Guru Bharadwaj, Dr Soumya Chatnalkar, Dr Girish Bakhshi, Dr Amol Wagh, have no conflicts of interest or financial ties to disclose.

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Bhandarwar, A., Tandur, A., Bharadwaj, G. et al. Wandering parasite: endoscopic management of hydatid cysts of abdomen encroaching thorax. Surg Endosc 35, 7253–7259 (2021). https://doi.org/10.1007/s00464-021-08682-w

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