دورية
Adjuvant Therapy in the Treatment of Complications Following Surgery for Hepatic Echinococcal Cysts
| العنوان: | Adjuvant Therapy in the Treatment of Complications Following Surgery for Hepatic Echinococcal Cysts |
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| المؤلفون: | Haddad, Maurice C., Huwaijah, Said H., Mourad, Fadi H., Sharara, Alaa' I., Al-Kutoubi, Aghiad O. |
| المصدر: | CardioVascular and Interventional Radiology; September 2000, Vol. 23 Issue: 5 p406-409, 4p |
| مستخلص: | Thirty-two patients had surgery for hepatic echinococcal cysts (HEC). Serious complications were observed in 16 patients (50%): cyst recurrence (n= 4), infected residual cyst cavity (n = 7), infected residual cyst cavity with biliary and duodenal fistulae (n= 2), recurrent biliary obstruction following open surgery for a ruptured HEC into the biliary tree (n= 2), delayed rupture of an HEC into the biliary tree following laparoscopic surgery with secondary biliary obstruction (n= 1). These major complications were successfully managed by percutaneous methods in 8 of 16 patients while antihelmintic therapy was sufficient in two patients with a small recurrent cyst and ERCP was used in one patient to relieve biliary obstruction. Surgery was required in two patients only. With a success rate of 87.5%, the nonsurgical approach is the preferred method for treating a post-surgical complication. |
| قاعدة البيانات: | Supplemental Index |
| تدمد: | 01741551 1432086X |
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| DOI: | 10.1007/s002700010094 |