SURGICAL-TREATMENT OF ADVANCED ALVEOLAR HYDATID-DISEASE OF THE LIVER - A REPORT OF 5 CASES

We report herein the cases of five patients with alveolar hydatid dise ase (AHD) of the liver who were diagnosed and underwent surgery at the Department of Surgery of Ankara University between 1989 and 1994. In all five patients, the final diagnosis was established by frozen secti on of the lesion during laparotomy. Lesions of AHD were found only in the liver. Hepatic resections including right lobectomy and segmentect omy were performed in three patients while palliative procedures were carried out in the remaining two patients with unresectable disease. T here was no operative mortality, and only one late death occurred 3 ye ars after the hepatic resection. In this paper, we present the clinica l and operative findings of these five patients and their outcomes, fo llowed by a review of the surgical treatment of AHD.