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According to the WHO, antiparasitic chemotherapy treatment is considered an important indication
to prevent secondary echinococcosis and reduce the risk of recurrence. In patients who didn’t take
albendazole, recurrence rate was 18.75%, compared to 4.16% recurrence rate in patients who received
[22]
albendazole therapy . In our study, we give the patients albendazole 400 mg twice daily for 1-2 weeks
before surgery, and postoperative for 3 months in uncomplicated cases and 6 months for complicated cases.

In conclusion, pericystectomy is a safe and effective management modality for liver hydatid cyst either
complicated or uncomplicated. This attributed to no mortality, less morbidity and no recurrence especially
when done by experienced surgeons and specialized centers with appropriate equipment.

DECLARATIONS
Acknowledgments
The authors would like to thank the Advanced Hepato-Pancreateco-Biliary Center team for their
continuous support to achieve patients data.

Authors’ contributions
Design, literature research, data acquisition, drafted manuscript: Mansy W, Mohamed M, Saber S
Data analysis: Mohamed M
Revised manuscript: Mansy W

Availability of data and materials
Patients were identified using Advanced Hepato-Pancreateco-Biliary Center database. Data were collected
retrospectively through systematic review of patient charts and imaging. The de-identified data is available
by contacting the corresponding author Associate Professor wael mansy.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2018.

REFERENCES
1. Larrieu E. Risks factors for hidatidosis in children of Rio Negro Province. A study of cases and control. Ann Trop Med Parasitol
2002;96:43-52.
2. Ayles HM, Corbett EL, Taylor I, Cowie AGA, Bligh J, et al. A combined medical and surgical approach to hydatid disease: 12 years’
experience at the hospital for tropical diseases, London. Ann R Coll Surg Engl 2002;84:100-5.
3. Tagliacozzo S, Miccini M, Gregori M, Bonapasta SA, Tocchi A. Surgical management of hyatid disease of the liver: 25 years of
experience. Am J Surg 2011;201:797-804.
4. Verma GR, Bose SM. Laparoscopic treatment of hepatic hydatid cyst. Surg Laparosc Endosc 1998;8:280-2.
5. Chautems R, Leo H, Gold B, Giostra E, Poletti P, et al. Surgical management and long-term outcome of complicated liver hydatid cysts
caused by Echinococcus granulosus. Surgery 2005;137:312-6.
6. Marco H, Abelleira M, Vanerio P, Ettlin A, San Martin G, et al. Radical treatment of hepatic hydatid cyst: results of total and near-total