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Hepatic echinococcosis with thoracic involvement. Clinical characteristics of a prospective series of cases

dc.contributor.authorManterola C.
dc.contributor.authorOtzen T.
dc.date.accessioned2020-09-02T22:22:17Z
dc.date.available2020-09-02T22:22:17Z
dc.date.issued2017
dc.identifier10.5604/01.3001.0010.0305
dc.identifier.citation16, 4, 599-606
dc.identifier.issn16652681
dc.identifier.urihttps://hdl.handle.net/20.500.12728/5175
dc.descriptionIntroduction. Thoracic involvement (TIHE) is one of the evolutionary complications of hepatic echinococcosis (HE). Aim. The aim of this study was to describe the clinical characteristics and postoperative morbidity (POM) of a series of patients with TIHE treated surgically. Material and methods. Series of cases of patients treated for TIHE between 2000 and 2014 in the Hospital Regional and Clínica Mayor in Temuco, Chile, with a minimum 12-month follow-up. The outcome variable was “development of POM”. Descriptive statistics were used. Results. The series was composed of 37 patients with a mean age of 53.2 ± 47.4 years (51.4% female). Mean cyst diameter was 19.4 ± 15.5 cm, and 75.7% of the lesions were located in the right hepatic lobe. The most frequent surgical technique used for the cyst was subtotal pericystectomy (56.8%); the residual cavity was treated by capitonnage (27.0%) or omentoplasty (21.6%), and a phrenoplasty with or without prosthetic material was performed for the TIHE. Mean hospital stay was 6.0 ± 5.7 days and follow-up was 61.4 ± 79.9 months; a mortality rate of 2.7% (one patient) and a POM of 24.3% (9 patients) were verified. Conclusion. TIHE is an uncommon evolutionary complication of HE associated with significant POM rate. © 2017, Fundacion Clinica Medica Sur. All rights reserved.
dc.language.isoen
dc.publisherFundacion Clinica Medica Sur
dc.subjectEchinococcosis
dc.subjectHepatic hydatid cyst
dc.subjectHepatic [Mesh]
dc.subjectHepatothoracic transit
dc.subjectHydatidosis [Multi]
dc.subjectMorbidity
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectcapitonnage
dc.subjectChile
dc.subjectclinical article
dc.subjectclinical feature
dc.subjectcontrolled study
dc.subjectcystectomy
dc.subjectfemale
dc.subjectfollow up
dc.subjecthospitalization
dc.subjecthuman
dc.subjectlength of stay
dc.subjectliver hydatid cyst
dc.subjectliver injury
dc.subjectliver lobe
dc.subjectmale
dc.subjectmortality rate
dc.subjectomentoplasty
dc.subjectphrenoplasty
dc.subjectprospective study
dc.subjectprosthesis material
dc.subjectsurgical technique
dc.subjectthorax disease
dc.subjecttreatment outcome
dc.subjectliver hydatid cyst
dc.subjectlung hydatid cyst
dc.subjectmiddle aged
dc.subjectmortality
dc.subjectparasitology
dc.subjectpostoperative complication
dc.subjectrisk factor
dc.subjecttime factor
dc.subjectvery elderly
dc.subjectyoung adult
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectChile
dc.subjectEchinococcosis, Hepatic
dc.subjectEchinococcosis, Pulmonary
dc.subjectFemale
dc.subjectHumans
dc.subjectLength of Stay
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPostoperative Complications
dc.subjectProspective Studies
dc.subjectRisk Factors
dc.subjectTime Factors
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.titleHepatic echinococcosis with thoracic involvement. Clinical characteristics of a prospective series of cases
dc.typeArticle


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