A JD, Chai JP, Jia SL, A XR. Historical changes in surgical strategy and complication management for hepatic cystic echinococcosis. World J Gastrointest Surg 2023; 15(8): 1591-1599 [PMID: 37701686 DOI: 10.4240/wjgs.v15.i8.1591]
Corresponding Author of This Article
Xiang-Ren A, MBBS, Chief Physician, Doctor, Department of Clinical Laboratory, Qinghai Provincial People's Hospital, No. 2 Gonghe Road, Chengdong District, Xining 810007, Qinghai Province, China. xiangrena_001@163.com
Research Domain of This Article
Infectious Diseases
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1591-1599 Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1591
Historical changes in surgical strategy and complication management for hepatic cystic echinococcosis
Ji-De A, Jin-Ping Chai, Sheng-Long Jia, Xiang-Ren A
Ji-De A, Department of Hepatic Hydatidosis, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China
Jin-Ping Chai, Department of Internal Medicine-Cardiovascular, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China
Sheng-Long Jia, Department of General Surgery, Huangzhong Hospital of Traditional Chinese Medicine, Xining 810007, Qinghai Province, China
Xiang-Ren A, Department of Clinical Laboratory, Qinghai Provincial People's Hospital, Xining 810007, Qinghai Province, China
Author contributions: A JD and Chai JP conceptualized the study, collected the data, designed the review, and drafted the original manuscript; Jia SL was responsible for the investigation and supervision; and A XR supervised and reviewed the final manuscript submitted for publication.
Supported bythe Qinghai Province Talent Action Plan of Kunlun; National Natural Science Foundation of China, No. 82260412; Basic Research Project of Qinghai Province, No. 2020-wjzdx-27; Qinghai Province 2022 Innovation Platform Construction Special Project, No. 2022-ZJ-T01; and High-end Innovative Talent Project of Kunlun Talents of Qinghai Province in 2021.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiang-Ren A, MBBS, Chief Physician, Doctor, Department of Clinical Laboratory, Qinghai Provincial People's Hospital, No. 2 Gonghe Road, Chengdong District, Xining 810007, Qinghai Province, China. xiangrena_001@163.com
Received: March 30, 2023 Peer-review started: March 30, 2023 First decision: May 12, 2023 Revised: May 17, 2023 Accepted: June 21, 2023 Article in press: June 21, 2023 Published online: August 27, 2023 Processing time: 147 Days and 21.9 Hours
Abstract
Echinococcosis is a zoonotic parasitic disease caused by Escherichia larvae. It frequently involves the liver (70%-75%), followed by the lungs (15%-20%), and occasionally the brain, heart, spleen, bone, and other organs. The main pathogenic forms of human echinococcosis currently include cystic echinococcosis (CE) and alveolar echinococcosis (AE). CE is globally distributed, while the distribution of AE is generally restricted to the northern hemisphere. In China, CE accounts for 75% of all echinococcosis cases. With rapid advances in surgical techniques in recent decades, the surgical strategy for CE has changed, especially with the continuous improvement of surgical methods and the expansion of surgical contraindications. To further understand the changes in surgical treatment strategies for hepatic CE, we interpreted and analyzed the existing literature addressing the surgical treatment of hepatic CE both domestically and abroad and briefly summarized them in chronological order. This review aims to provide a deeper understanding of the progress in the surgical treatment of hepatic CE to provide clearer avenues for its clinical diagnosis and treatment.
Core Tip: Many articles have been published on the surgical methods and postoperative complications of hepatic cystic echinococcosis (CE), especially regarding the relationship between surgical methods and patient prognosis. However, few studies have examined the historical changes in surgical methods for hepatic CE. Therefore, this review discusses the main surgical methods and complications in the treatment of hepatic CE over time to provide readers with a deeper understanding of the surgical treatment of this disease.
