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Operative Techniques in Liver Resection pp 165–179Cite as

Liver Resection in Hepatic Hydatid Disease

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Abstract

Hepatic hydatid disease is also called echinococcosis of the liver. It is a kind of parasitic zoonosis caused by infection with the larva of echinococcus in the visceral organs of human beings and other animals. After infection with echinococcus has occurred, the larva of echinococcus can parasitize many organs in the body. The liver is the most commonly affected organ and accounts for approximately 70 % of cases, followed by the lung, which accounts for 20 % of cases. It can be also observed in other organs, such as the brain, heart, kidney, orbit, and bone marrow cavity, which accounts for approximately 10 % [1]. Hepatic hydatid disease has been reported all around the world, and the prevalence is more severe in pastoral areas. Most of the locations where hydatid disease is prevalent are pastoral areas where economic conditions and medical conditions are very poor, and most patients are herdsmen who have no ability to afford hospitalization costs. Therefore, hepatic hydatid disease has become a severe public health problem in epidemic areas. Over the past few years, the thriving development of immigration and tourism has caused a high level of migratory movement, which has resulted in reports of hepatic hydatid disease in many non-epidemic areas [2, 3]. For this reason, the disease is becoming a global public health problem [4, 5]. Sixteen species and 13 subspecies of echinococcus have been found so far, but only five of them have important clinical significance: Echinococcus granulosus, Echinococcus multilocularis, Echinococcus oligarthrus, Echinococcus vogeli, and Echinococcus shiquicus, which were recently discovered in Shi Qu County of Sichuan Province [6]. Among them, E. granulosus is the most commonly reported all around the world. Infection with E. granulosus causes cystic echinococcosis, which is most commonly found in a clinical environment. E. multilocularis is rarely reported worldwide, but the incidence is very high in the Ganzi prefecture of Sichuan Province. Alveolar echinococcosis caused by E. multilocularis develops like a malignant tumor. It is a type of highly pathogenic disease that leads to high mortality, which has important clinical significance. This chapter focuses on these two kinds of echinococcosis.

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Authors and Affiliations

  1. Department of Liver Surgery, Liver Transplantation Center, West China Hospital of Sichuan University, 37th Guoxue Xiang, Jiang Xi Street, Chengdu, Sichuan, 610041, China

    Zheyu Chen

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  1. Department of Surgery, West China Hospital, Chengdu, China

    Lunan Yan

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Chen, Z. (2016). Liver Resection in Hepatic Hydatid Disease. In: Yan, L. (eds) Operative Techniques in Liver Resection. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7411-6_19

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  • DOI: https://doi.org/10.1007/978-94-017-7411-6_19

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