Open AccessAlveolar Echinococcosis of the Liver
Author(s) -
Yoichi Kasai,
I Koshino,
Norio Kawanishi,
Hitoshi Sakamoto,
Eisei Sasaki,
Mitsuru Kumagai
Publication year - 1980
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198002000-00003
Subject(s) - medicine , alveolar echinococcosis , echinococcosis , disease , population , echinococcus multilocularis , stage (stratigraphy) , lesion , surgery , pathology , environmental health , paleontology , biology
During the years 1936 through 1978, 60 cases received surgical intervention for alveolar echinococcosis of the liver. The resectability and operative mortality rate were 64.0% (16/25) and 43.8% (7/16) before 1968, but 54.3% (19/35) and zero (0/19) thereafter. Establishment of clinical staging and criteria for justifying radical resection of a given lesion, combined with systematic evaluation of all hepatic vasculatures, contributed to improvement of the result. The long-term prognosis of the disease, unless resected, has been exclusively poor. A mass screening program, which became possible by the development of serologic tests, has covered a population of over 140,000 in the endemic area and been of value in detecting the disease in its early developmental stage. The disease should be recognized even in currently unaffected areas since the cestode has a fairly wide geographic distribution including the United States.