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Surgical approch with eradication of the parasite by mechanical removal, sterilization of the cyst cavity by injection of a scolicidal agent, and protection of the surrounding tissues and cavities.
management of Hydated cyst of liver: treatment depends on a number of factors related to the lesion, setting and patient, multiple or solitary cyst, active or pasive parasite and location of cysts, so the treatment based on more lines:
1. benzimidazolic drugs, mebendazole and albendazole, are the only anthelmintics effective against cystic echinococcosis. Albendazole is better.
2. non-surgical drainage techniques, such as PAIR (puncture, aspiration, injection, re-aspiration) and its derivatives, are now considered a useful option in selected cases.
3. US- or CT-guided percutaneous biliary drainage, centro-parasitic abscesses drainage, or vascular stenting were performed successfully.
4. endoscopic retrograde cholangiopancreatography (ERCP)-associated techniques have become increasingly used to manage biliary fistulas in Cystic echinococcosis CE
5. surgical treatment
6. radiofrequency thermal ablation (RFA), were shelved after initial attempts, while others, such as High-Intensity Focused Ultrasound, appear promising but are still in a pre-clinical phase. In AE, RFA has never been tested, however, radiotherapy or heavy-ion therapies have been attempted in experimental models. Still, application to humans is questionable
I am no a professor, I am lecturer,......my answer
it depends to symptoms and stage of the disease wather surgical intervention needed or medical treatment may be enough
Perform operation.Extripatio cystis in toto and cytojejuno anstomosis.
surgical excision of the cyst living in place the pericystic tissue, chemical treatment of the cyst cavity by injectio of phormalin or othes scolicidal agent
It depends on the size, number and localisation of the cysts. Antiparasitary drugs (benzylimidazols) sholud be used alone or in a combination with surgery or percutaneuos drainage of the cysts.
depends upon size , site and number. best option would be case specific
Thank you Doctor.the answer is really informative,looking for your cooperation in future.
this is a parasitic cyst occure every where in the body no organ is immune from infection with this disease, most common organ affected is the liver and second is the lung,
the diagnosis from symptoms and liver enlargement.
common investigation is US and CT of abdomen
complicated case needs ERCP or MRI.
common management\\; depend on factors like the size and multiplicity and symptoms and general health of the person whether he can tolerate the general anasthesia or not.\\
the surgery\\; by laparotomy and evacuation of the endocyst after precaution to prevent spillege the hydatid fluid and daughter cysts. some time we use formaline or hypertonic saline injection into the cyst befor evacuation to kill the daughter cysts.
in case of inoperable cases we use drugs like albendazol or mebendazol.
ERCP to evacuate the rupturned cyst into bile duct or to insert a stent.
It is the right costal laparotomy way that allows to treat all the localizations and all the types of cysts, while ensuring a great security. The laparoscopic route remains an exception to simple anterior type I or type II cysts
regarding history and clinical evaluations confirmed by investigations and patient performance it will be medical , interventional and surgical
