caa a22 4500 475801598 CHVBK 20180406123738.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1007/s002689910115 doi (NATIONALLICENCE)springer-10.1007/s002689910115 Radical Surgical Therapy of Abdominal Cystic Hydatid Disease: Factors of Recurrence [Elektronische Daten] [Bernd Gollackner, Friedrich Längle, Herbert Auer, Andrea Maier, Martina Mittlböck, Irene Agstner, Josef Karner, Felix Langer, Horst Aspöck, Heidrun Loidolt, Susanne Rockenschaub, Rudolf Steininger] Abstract.: A series of 74 consecutive patients (48 women, 26 men) were operated for abdominal hydatid disease between June 1949 and December 1995. The patients ranged in age from 15 to 81 years (median 49 years). In 69 cases only the liver was affected; two patients had concomitant extrahepatic disease (one spleen, one spleen and lung), and 3 had cysts in the spleen only. Cysts were multiple in 11 patients and calcified in 24. Conservative surgical procedures were used for 22 cysts in 20 patients [open partial (n= 3), open total (n= 6), closed total cystectomy (n= 9), marsupialization (n= 2), drainage (n= 2)] and radical surgical procedures for 72 cysts in 54 patients [pericystectomy (n= 41), wedge liver resection or hemihepatectomy (n= 25), splenectomy (n= 5), radical resection of a lung cyst (n= 1)]. Altogether 37 patients (50%) were given perioperative antihelmintic chemotherapy with mebendazole (18 patients) or albendazole (19 patients). Operative mortality rates were 5.0% after conservative surgery and 1.8% after radical surgery. Morbidity rates were 25.0% following conservative surgery and 24.1% following radical surgery. Antihelmintic therapy was well tolerated by all but five patients. All side effects were entirely reversible. Among the 74 patients, 60 (81.0%) were available for long-term follow-up (median 7.2 years; range 2.0-47.0 years). Recurrence of disease was seen in 9 of 60 patients at an interval of 3 months to 20 years from the first operation. The rate of recurrence was significantly lower after radical surgical procedures (p= 0.03) and after closed removal of the cyst (p= 0.04). 2000 by the Société Internationale de Chir, 2000 Gollackner Bernd Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Längle Friedrich Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Auer Herbert Department of Medical Parasitology, Clinical Institute of Hygiene, University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria, Austria aut Maier Andrea Department of Radiology, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Mittlböck Martina Department of Medical Computer Sciences, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Agstner Irene Department of Medical Computer Sciences, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Karner Josef Department of Surgery, Kaiser-Franz-Josef-Hospital, Kundratstrasse 3, 1100 Vienna, Austria, Austria aut Langer Felix Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Aspöck Horst Department of Medical Parasitology, Clinical Institute of Hygiene, University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria, Austria aut Loidolt Heidrun Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Rockenschaub Susanne Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut Steininger Rudolf Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut World Journal of Surgery Springer-Verlag 24/6(2000-06-01), 717-721 0364-2313 24:6<717 2000 24 268 https://doi.org/10.1007/s002689910115 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910115 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gollackner Bernd Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Längle Friedrich Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Auer Herbert Department of Medical Parasitology, Clinical Institute of Hygiene, University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Maier Andrea Department of Radiology, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Mittlböck Martina Department of Medical Computer Sciences, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Agstner Irene Department of Medical Computer Sciences, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Karner Josef Department of Surgery, Kaiser-Franz-Josef-Hospital, Kundratstrasse 3, 1100 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Langer Felix Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Aspöck Horst Department of Medical Parasitology, Clinical Institute of Hygiene, University of Vienna, Kinderspitalgasse 15, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Loidolt Heidrun Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Rockenschaub Susanne Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Steininger Rudolf Department of Surgery, University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria, Austria aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/6(2000-06-01), 717-721 0364-2313 24:6<717 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer