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Percutaneous management in hepatic alveolar echinococcosis:A sum of single center experiences and a brief overview of the literature

查看全文 作　　者：Suat [1]Eren;Sonay [2]Aydın;Mecit [2]Kantarci;Volkan [2]Kızılgöz;Akın [2]Levent;Düzgün [2]CanŞenbil;Okan [3]Akhan 高影响力作者 机构地区：[1]Department of Radiology,Faculty of Medicine,Atatürk University,Erzurum 25100,Turkey;[2]Department of Radiology,Faculty of Medicine,Erzincan Binali Yıldırım University,Erzincan 24100,Turkey;[3]Department of Radiology,Hacettepe University,Ankara 06090,Turkey高影响力机构 出　　处：《World Journal of Gastrointestinal Surgery》索引2023年第15卷第3期,共10页高影响力期刊 摘　　要：BACKGROUND Hepatic alveolar echinococcosis(HAE)is a serious zoonotic infection that affects humans.It may have a tumor-like appearance at times.Percutaneous treatment of HAE patients is extremely relaxing for them.HAE is a significant human zoonotic infection caused by the fox tapeworm Echinococcus Multilocularis larvae.It possesses the characteristics of an invasive tumor-like lesion due to its infiltrative growth pattern and protracted incubation period.The disease is endemic over central Europe,Asia,and North America.AIM To characterize HAE patients who were treated percutaneously,their outcomes,and the major technical features of percutaneous treatment in HAE.METHODS Patients who were treated with percutaneous cyst drainage and/or percutaneous biliary drainage were included in the study.Uncorrected abnormal coagulation values and solid or non-infected HAE with minor necrotic change were excluded.RESULTS Thirty-two patients underwent percutaneous cyst drainage,two patients underwent percutaneous biliary drainage,and four patients underwent percutaneous biliary drainage alone.Interventional radiology is utilized to drain echinococcal necrosis and abscesses within/without the liver,as well as diseased and clogged bile ducts.CONCLUSION Percutaneous drainage of cyst contents and/or biliary channels using a minimally invasive technique is a very beneficial.Percutaneous cyst drainage with albendazole therapy improves quality of life in patients who are unable to undergo surgery,even when the mass resolves with long-term treatment. 关 键 词：INTERVENTIONAL RADIOLOGY Treatment Alveolar echinococcosis Liver
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