{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T13:51:13Z","timestamp":1790171473435,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,4,7]],"date-time":"2009-04-07T00:00:00Z","timestamp":1239062400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This systematic review was designed to provide \u201cevidence\u2010based\u201d answers to identify the best treatment for a complicated hydatid cyst of the liver and the appropriate management of disseminated cystic echinococcosis. An extensive electronic search of the relevant literature was performed using Medline and the Cochrane Library. This systematic review enabled us make to determine the best treatment options for the following conditions. Liver hydatid cysts ruptured into the biliary tract: Common bile duct exploration should be conducted using intraoperative cholangiography and choledoscopy. When the biliary tract is cleared of all cystic content, T\u2010tube drainage should be sufficient. The principal difficulty concerned the management of the large biliocystic fistula: suture or internal transfistulary drainage or fistulization. Medical treatment is indicated in association with surgery for 3\u00a0months postoperatively. During the preoperative period, endoscopic retrograde cholangiopancreatography (ERCP) combined with preoperative endoscopic sphincterotomy (ES) may decrease the incidence of postoperative external fistula. Liver hydatid cysts involving the thorax: An abdominal approach is mandatory when common bile duct drainage is required, and it may be sufficient to treat a direct rupture into bronchi. An acute abdomen, owing to Liver hydatid cysts ruptured into peritoneum, requires an emergent operation. Medical treatment should be associated. Cystic echinococcosis of the lung: Surgery is still the main therapeutic option to remove the cyst, suture bronchial fistula if necessary, followed by capitonnage. Osseous cystic echinococcosis: Wide surgical excision is recommended. Cystic echinococcosis of the heart: Cystopericystectomy is the \u201cgold standard\u201d procedure but is sometimes unsuitable for particular sites. Cystic echinococcosis of the kidney: Cystectomy with pericystectomy is feasible in 75% of cases; nephrectomy must be reserved for destroyed kidney. Multiple associated cystic echinococcosis locations: Complicated cysts should be treated with high priority. In case of several cysts in the liver, spleen, and peritoneum, removal of all cysts in the same intervention is indicated when there is no threat to the life of the patient. Otherwise, a planned reoperation should be considered.<\/jats:p>","DOI":"10.1007\/s00268-009-9982-9","type":"journal-article","created":{"date-parts":[[2009,4,6]],"date-time":"2009-04-06T14:12:21Z","timestamp":1239027141000},"page":"1266-1273","source":"Crossref","is-referenced-by-count":132,"title":["Management of Cystic Echinococcosis Complications and Dissemination: Where is the Evidence?"],"prefix":"10.1002","volume":"33","author":[{"given":"Chadli","family":"Dziri","sequence":"first","affiliation":[{"name":"General Surgery B H\u00f4pital Charles Nicolle Bd 9 avril 1938 1006 Tunis Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Haouet","sequence":"additional","affiliation":[{"name":"Emergency Department H\u00f4pital Charles Nicolle Bd 9 avril 1938 1006 Tunis Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abe","family":"Fingerhut","sequence":"additional","affiliation":[{"name":"General Surgery, Service de Chirurgie viscerale Centre hospitalier Intercommunal Poissy 78303 Poissy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdeljelil","family":"Zaouche","sequence":"additional","affiliation":[{"name":"General Surgery A H\u00f4pital Charles Nicolle Bd 9 avril 1938 1006 Tunis Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4,7]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"419","article-title":"Les kystes hydatiques du foie op\u00e9r\u00e9s en France: \u00e9pid\u00e9miologie, attitudes diagnostiques et th\u00e9rapeutiques: \u00e9tude de 306 cas","volume":"10","author":"ARC","year":"1986","journal-title":"Gastroent\u00e9rol Clin Biol"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1988.11812243"},{"key":"e_1_2_5_4_2","first-page":"1","volume-title":"Compendium on cystic echinococcosis in Africa and Middle Eastern countries with special reference to Morocco","author":"Anderson FL","year":"1997"},{"key":"e_1_2_5_5_2","first-page":"20","article-title":"Incidence chirurgicale de l\u2019hydatidose en Tunisie (1988\u201392)","volume":"4","author":"Hsairi M","year":"1995","journal-title":"Tunisie Chirurgicale"},{"key":"e_1_2_5_6_2","unstructured":"ZaoucheA(1994)La chirurgie des kystes hydatiques du foie Tunis Soci\u00e9t\u00e9 Tunisienne de Chirurgie28\u2013190"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002680020005"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002680020006"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.139.2.7220891"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.102.4_Supplement.305S"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.95.2_Supplement.2S"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005950200107"},{"key":"e_1_2_5_13_2","first-page":"1094","article-title":"Management of intrabiliary ruptured hydatid disease of the liver","volume":"48","author":"K\u00f6ksal N","year":"2001","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20103944(01)00507\u20107"},{"key":"e_1_2_5_15_2","first-page":"43","article-title":"Diagnosis and surgical treatment of intrabiliary ruptured hydatid disease of the liver","volume":"42","author":"Tacyildiz I","year":"2004","journal-title":"S Afr J Surg"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.09.004"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480206801109"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.09.014"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102001\u201017342"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004836\u2010200208000\u201000009"},{"key":"e_1_2_5_21_2","first-page":"272","article-title":"Diagnostic and therapeutic ERCP in hepatic hydatid disease","volume":"6","author":"Simsek H","year":"2004","journal-title":"Curr Gastroenterol Rep"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010\u20107940(02)00257\u20109"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(01)03204\u20100"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010\u20107940(98)00144\u20104"},{"key":"e_1_2_5_25_2","first-page":"437","article-title":"Hydatid cysts of the liver ruptured into the thorax. 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