Comment on surgical approaches for definitive treatment of hepatic alveolar echinococcosis: results of a survey in 178 patients

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dc.authoridSAHIN, TEVFIK TOLGA/0000-0002-9132-6115
dc.authoridAkbulut, Sami/0000-0002-6864-7711
dc.authorwosidSAHIN, TEVFIK TOLGA/AAA-9648-2021
dc.authorwosidAkbulut, Sami/L-9568-2014
dc.contributor.authorAkbulut, Sami
dc.contributor.authorSahin, Tevfik Tolga
dc.date.accessioned2024-08-04T20:48:58Z
dc.date.available2024-08-04T20:48:58Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractEchinococcus multilocularis causes alveolar echinococcosis which is a chronic, progressive zoonotic disease that mainly affects the liver. Hepatic alveolar echinococcosis is insidious and the patients are asymptomatic most of the time. Generally, it is incidentally found on imaging studies performed for other reasons. Specific symptoms may evolve if the vascular and biliary structures of the liver are affected. Hepatic alveolar echinococcosis shows a similar pattern to malignancies in terms of radiologic and clinical features. For this reason, oncological surgical principles should be applied during the resection of hepatic alveolar echinococcosis. The gold standard surgical treatment is resection with negative surgical margin. However, in patients whose radical resection is not possible other therapeutic options include palliative resection which has no benefit to the patient, and other curative major surgical options such as ex vivo liver resection, and autotransplantation and ultimately liver transplantation. The remnant liver volume has paramount importance if resection is going to be performed. For this reason, occasionally, remnant liver volume hypertrophy is induced by employing either two-stage hepatectomy or associating liver partition and portal vein ligation for staged hepatectomy.en_US
dc.identifier.doi10.1017/S0031182020001390
dc.identifier.endpage1410en_US
dc.identifier.issn0031-1820
dc.identifier.issn1469-8161
dc.identifier.issue13en_US
dc.identifier.pmid32741385en_US
dc.identifier.scopus2-s2.0-85092279435en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1408en_US
dc.identifier.urihttps://doi.org/10.1017/S0031182020001390
dc.identifier.urihttps://hdl.handle.net/11616/99577
dc.identifier.volume147en_US
dc.identifier.wosWOS:000590482000004en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCambridge Univ Pressen_US
dc.relation.ispartofParasitologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAlveolar echinococcosisen_US
dc.subjectex vivo liver resection plus autotransplantationen_US
dc.subjecthepatectomyen_US
dc.titleComment on surgical approaches for definitive treatment of hepatic alveolar echinococcosis: results of a survey in 178 patientsen_US
dc.typeReview Articleen_US

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