Review of the treatment of liver hydatid cysts

作     者：Concepción Gomez i Gavara Rafael López-Andújar Tatiana Belda Ibáez José M Ramia ngel ngel Moya Herraiz Francisco Orbis Castellanos Eugenia Pareja Ibars Fernando San Juan Rodríguez 

作者机构：Hepatobiliopancreatic Surgery and Transplantation UnitLa Fe University Hospital46026 ValenciaSpain Digestive SurgeryVirgen de los Lirios HospitalAlcoy03804 ValenciaSpain General Hospital GuadalajaraHepatobiliopancreatic Surgery Unit19002 GuadalajaraSpain 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2015年第21卷第1期

页      面：124-131页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Hydatid Liver Cyst Echinococcosis PAIR Cystectomy 

摘      要：A review was carried out in Medline,LILACS and the Cochrane *** database search strategy included the following terms: hydatid cyst,liver,management,meta-analysis and randomized controlled trial.No language limits were used in the literature *** latest electronic search date was the 7th of January *** and exclusion criteria: all relevant studies on the assessment of therapeutic methods for hydatid cysts of the liver were considered for *** from editorials,letters to publishers,low quality review articles and studies done on animals were excluded from ***,well-structured abstracts from relevant articles were selected and accepted for *** forms were designed for data extraction; two investigators entered the data on patient demographics,methodology,recurrence of HC,mean cyst size and number of cysts per *** hundred and fourteen articles were identified using the previously described search *** applying the inclusion and exclusion criteria detailed above,57 articles were selected for final analysis: one meta-analysis,9 randomized clinical trials,5 non-randomized comparative prospective studies,7 non-comparative prospective studies,and 34 retrospective studies(12 comparative and 22 noncomparative).Our results indicate that antihelminthic treatment alone is not the ideal treatment for liver hydatid *** studies in the literature support the effectiveness of radical treatment compared with conservative *** surgery with omentoplasty is effective in preventing postoperative complications.A laparoscopic approach is safe in some *** drainage with albendazole therapy is a safe and effective alternative treatment for hydatid cysts of the *** surgery with preand post-operative administration of albendazole is the best treatment option for liver hydatid cysts due to low recurrence and complication rates.