Classification of hydatid liver cysts

A number of investigations advocate various classification systems for liver hydatid cysts. However, none permits predicting the treatment outcome or making clinical decisions regarding medical treatment; open surgery; punction, aspiration, injection, reaspiration (PAIR); or laparoscopy. An internat...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2005-03, Vol.20 (3), p.352-359
Main Authors: KJOSSEV, KIRIEN T, LOSANOFF, JULIAN E
Format: Article
Language:English
Subjects:
Animals
Biological and medical sciences
classification
Decision Making
Digestive System Surgical Procedures - methods
Diseases caused by cestodes
Echinococcoses
Echinococcosis, Hepatic - classification
Echinococcosis, Hepatic - surgery
Helminthic diseases
Humans
hydatid cyst
Infectious diseases
liver
Medical sciences
Parasitic diseases
surgery
TN(R)C
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Summary:A number of investigations advocate various classification systems for liver hydatid cysts. However, none permits predicting the treatment outcome or making clinical decisions regarding medical treatment; open surgery; punction, aspiration, injection, reaspiration (PAIR); or laparoscopy. An international hydatid disease registry employing an uniform nomenclature and consistent reporting methods would allow more rational comparison of different management strategies. TN(R)C (topography, nature, recurrent, complication) classification is a comprehensive system based on four criteria: location (T), natural history (N), recurrence (R) and complications (C) of the cyst. This pictorial review illustrates the classification and puts accent of its clinical usefulness. The TN(R)C classification provides a standardized description formula of every liver hydatid cyst, permitting multiple comparisons and analyses.
ISSN:0815-9319
1440-1746
DOI:10.1111/j.1440-1746.2005.03742.x