Alveolar echinococcosis of the liver; studies on 60 operated cases

During the years 1936 through 1978, 60 cases received surgical intervention for alveolar echinococcosis of the liver. The resectability and operative mortality rate were 64.0% (16/25) and 43.8% (7/16) before 1968, but 54.3% (19/35) and zero (0/19) thereafter. Establishment of clinical staging and cr...

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Bibliographic Details
Published in:Annals of surgery 1980-02, Vol.191 (2), p.145-152
Main Authors: Kasai, Y, Koshino, I, Kawanishi, N, Sakamoto, H, Sasaki, E, Kumagai, M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Echinococcosis, Hepatic - diagnosis
Echinococcosis, Hepatic - prevention & control
Echinococcosis, Hepatic - surgery
Female
Humans
Liver Circulation
Male
Mass Screening
Middle Aged
Palliative Care
Prognosis
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Summary:During the years 1936 through 1978, 60 cases received surgical intervention for alveolar echinococcosis of the liver. The resectability and operative mortality rate were 64.0% (16/25) and 43.8% (7/16) before 1968, but 54.3% (19/35) and zero (0/19) thereafter. Establishment of clinical staging and criteria for justifying radical resection of a given lesion, combined with systematic evaluation of all hepatic vasculatures, contributed to improvement of the result. The long-term prognosis of the disease, unless resected, has been exclusively poor. A mass screening program, which became possible by the development of serologic tests, has covered a population of over 140,000 in the endemic area and been of value in detecting the disease in its early developmental stage. The disease should be recognized even in currently unaffected areas since the cestode has a fairly wide geographic distribution including the United States.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-198002000-00003