Hydatid cyst of the colon: A systematic review of the literature

Table 3 Intraoperative findings, postoperative period and follow-up

Ref.	Intraoperative findings	Surgical procedure	Postoperative period morbidity	Pathology	Postoperative albendazole	Follow-up
Sapkas et al[13], 1972	Giant splenic cyst. Communication splenic cyst to colon	Left colectomy with splenectomy (total cystectomy). Colo-colonic terminal anastomosis	2nd d: Low blood pressure, tachycardia, cyanosis in limbs, death	Isolated mesosigmoidal hydatid cyst	NA	Exitus on second postoperative day
Ortiz et al[12], 1987	Liver cyst. Communication liver cyst to colon	Excision of 5 cm of the colon wall surrounding the fistulous hole and closure of the colonic defect	NA	Calcified cystic lesion in right hepatic lobe with colonic fistula	NA	NA
Puras et al[11], 1989	Two peritoneal cysts of 6 and 10 cm. The larger one fistulized to colon	Total cystopericystectomies and sigmoidectomy with terminal anastomosis	Evisceration with wound closure surgery	Hydatid cyst	NA	NA
Leviav et al[10], 1996	Ruptured cyst in splenic flexure of colon with peritonitis	Resection of splenic flexure plus proximal colostomy. Partial cystectomy of liver cysts	First week: Fever (39 ºC). Subphrenic abscess	Splenic hydatid cyst invading the colon's splenic flexure	NA	No relapse. Followed-up during 12 yr
Lo Casto et al[9], 1997	Hydatid cyst originating from left lobe of the liver fistulized to the left colon	Partial cystectomy and suture of the colonic fistula	NA	Ruptured cyst in splenic flexure of colon with peritonitis	High-dose albendazole (6 mo)	No more surgeries required
Astarcioglu et al[8], 2001	Multiple obstructing hydatid cysts in the colon serosal tissue and mesosigmoid (1.5 - 6 cm ø)	Hartmann’s procedure with 15 cm of resected colonic segment	Uneventful	Peritoneal hydatid cysts fistulized to sigmoidal colon	200 mg/d oral albendazole	Free of disease 4 mo
Fernández Salazar et al[7], 2005	NA	Refused surgical treatment	NA	Calcified splenic cyst fistulizing left colon	Antiparasitic treatment but not specified	Good evolution 6 months after discharge
Teke et al[6], 2008	Disseminated abdominopelvic hydatid cysts, in the inferior pole of the spleen, and invading the colon's splenic flexure. Fistula between splenic hydatid cyst and colon's splenic flexure, (1 cm)	En-bloc excision of the spleen and splenic flexure of the colon	Uneventful	Hydatid cyst communicating with colon through a fistula	Three 28-d cycles of albendazole therapy	The patient was discharged on the seventh postoperatived
Restivo et al[5], 2010	Large fistula between the hepatic flexure and the liver	Partial cystectomy + suture colon	NA	Hydatid cyst in the right lobe of the liver fistulized in the right colon	NA	At 15-month follow up the patient was well and CT scan and colonoscopy showed a closure of the hepatic-colonic fistula

NA: Not available.