Open Conservative Surgical Management of Cystic Echinococcosis in a Tertiary Care Hospital, Nepal

• Main Authors: Niranjan Kumar Hazra, Hemant Batajoo, Samikshya Ghimire, Brijesh Sathian
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2015-07-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: albendazole; betadine; ce; partial pericystectomy
• Online Access: https://jcdr.net/articles/PDF/6151/12599_CE(Ra1)_F(GH)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf

Background: Cystic echinococcosis (CE) or hydatid disease caused by E. granulosus in Nepal is amenable to surgical treatment. Aim: Aim of the study is to evaluate the efficacy of surgical treatment of CE, by open partial pericystectomy with albendazole as adjuvant. Materials and Methods: Material of this prospective study were the consecutive series of 33 patients operated for CE, over a period of 8 years, at a single centre. Clinical examination, ultrasonography (USG) and computed tomography (CT) were used for establishing diagnosis. Patients were prescribed perioperative albendazole. Povidone iodine 10% (betadine) was used as contact scolicidal agent during operation. Cysts were evacuated from livers, lungs, retroperitoneum by partial pericystectomy. CE of mesentery was completely excised. Descriptive statistics was obtained using EPI- info windows version soft ware. Results: A total of 33 patients were operated for CE; 24 were females and 9 males. Age ranged from 4 years to 80 years. Organs/ site involved were: liver – 24, lungs – 4, combined liver and lungs – 2, retroperitoneum - 2 and mesentery – 1. Complication – bile leak for 2 weeks in an operated CE of liver. There was no mortality. Hospital stay (in days) was – mean 14 (range 7to21). Follow up for 3 years (average 2years) showed no recurrence. Conclusion: Evacuation of CE by partial pericystectomy is an effective, safe and simple procedure, and gives excellent cure rate with perioperative albendazole therapy.