1.Univesicular cysts (WHO classification type CE 1)
2.Univesicular cysts with detached membrane (WHO type CE 3), and some multiple cysts (WHO type CE 2)
3.Recurrent cystic collections after surgery
4. Good Option in pregnancy
Contraindications of (PAIR)
1.Inaccessible to puncture
2. Cysts in which puncture may damage important vascular structures
3. Peripheral cysts that do not have a sufficient layer of hepatic tissue that permits transhepatic puncture.
4. There is no indication for percutaneous treatment of liver hydatid cysts ruptured into the bile ducts, peritoneum, or pleura.
Other Multiple Choice questions websites
Indications of Chemotherapy In Hydatid Cyst Liver
1. Inoperable patients
2. Multiple cysts in two or more organs
3. Multiple small liver cysts
4. Liver cysts deep in parenchyma
5. Prevention and management of secondary hydatidosis
6. Management of Recurrent cyst
7. In combination with surgery and intervention
8. Pulmonary
9. Bone, brain etc
Contra Indications of Chemotherapy In Hydatid Cyst Liver
1. Large Cyst
2.Cysts with multiple septa
3. Superficial cysts prone to rupture
4. Infective
5. Inactive cyst
6. Severe Chronic hepatic disease
7. Bone marrow depression
8. Early Pregnancy
Results of Chemotherapy
1.10-30% cysts disappear
2. 50-70% have significant size reduction
3. 20-30% show no change
A resource for doctors and Surgeons. Here you will find surgery questions, quiz and notes on hydatid cyst liver. The Links are leading to other multiple choice questions on liver and hepatic system
Q1. Disadvantage of capitonnage after removal of cyst cavity contents is
a) It can obliterate potential bile duct orifices
b) Closure of cavity is not adequate
c) The procedure is not possible in rigid or calcified cyst
d) It can be easily done in cyst close to diaphragm
Answers
1 c)
Capitonnage has the advantages of diminishing the size of the residual cavity and obliterating the potential bile duct orifices by closing the adventitial pericystic walls. This procedure, which should not be used in complicated cysts, is not possible for rigid or calcified cysts, for very large cavities, for intraparenchymal cysts, and for cysts lying close to the diaphragm or posterior surface of liver.
From Blumgart 4th edition
Notes- Other names of Pericystectomy-
Radical cystectomy, capsulectomy, total pericystectomy, and cystopericystectomy
Radical Surgical options for hydatid cyst liver
Total pericystectomy
Subtotal pericystectomy
Pericyst resection
Hepatic resection
Biliary communication
Seen in 4 to 19%
