Current considerations for the management of liver echinococcosis  

作　　者：Efstathios T Pavlidis Ioannis N Galanis Theodoros E Pavlidis 

机构地区：[1]The 2nd Department of Propaedeutic Surgery,Hippokration General Hospital,School of Medicine,Aristotle University of Thessaloniki,Thessaloniki 54642,Greece

出　　处：《World Journal of Gastroenterology》2025年第10期159-163,共5页世界胃肠病学杂志(英文)

摘　　要：Echinococcosis or hydatid disease is induced mainly by Echinococcus granulosus and occasionally by Echinococcus multilocularis(alveolaris)and affects the liver predominantly.Hepatic alveolar echinococcosis is similar to carcinoma in appearance,and without treatment,it can lead to death.Diagnosis is based on current imaging modalities.Surgical management is the cornerstone of treatment.Complete removal of the cyst(total pericystectomy or hepatectomy)ensures a permanent cure and should be the first-choice treatment for cystic disease.Cyst evacuation,partial cystectomy,and drainage or omentoplasty,may be alternative choices in difficult cases.Albendazole,mebendazole and praziquantel are options for treating small cysts and preventing recurrence after surgery.Despite the efforts,alveolar echinococcus is not usually amenable to surgical management,except in the early stage,which is less common,and management by albendazole is indicated.However,there are few recent reports of major operations(ex-vivo hepatectomy,autotransplantation and vascular reconstruction)in advanced stages.

关 键 词：Hepatic echinococcosis Hydatid disease Echinococcus granulosus Echinococcus alveolaris Hepatectomy for parasite diseases Pericystectomy 

分 类 号：R73[医药卫生—肿瘤]