Is fear of anaphylactic shock discouraging surgeons from more widely adopting percutaneous and laparoscopic techniques in the treatment of liver hydatid cyst? - 25/08/11
, Hussein Heis, F.R.C.S. a, Kamal Bani-Hani, F.R.C.S. a, Ismail Matalka, M.R.C.Path. b, Nawaf Shatanawi, F.R.C.S. a, Kamal Gharaibeh, F.R.C.S. a, Amjad Bani-Hani, M.B.B.S. aAbstract |
Background |
Sources of reports about laparoscopic and percutaneous treatment of liver hydatid cysts are limited to just a few countries. To address the reason behind this, we carried out a survey of 30 surgeons in northern Jordan.
Methods |
A questionnaire was distributed to collect data regarding the surgical technique preferred by each surgeon. Further information was collected from those not adopting minimal-access techniques to determine their reasons for not doing so.
Results |
Only 3 surgeons (10%) considered laparoscopy as the first line of treatment. Of the 27 surgeons who did not consider percutaneous or laparoscopic treatment, fear of anaphylaxis and/or dissemination was the main reason given by 21 surgeons (78%) for not using minimal access techniques.
Conclusions |
The seemingly exaggerated traditional fear of anaphylaxis seems to discourage surgeons from more widely adopting minimal access techniques for the treatment of hydatid cyst.
Le texte complet de cet article est disponible en PDF.Keywords : Anaphylaxis, Hydatid cyst, Jordan, Laparoscopy, Surgery
Plan
Vol 187 - N° 4
P. 533-537 - avril 2004 Retour au numéro
Article précédent
- Pure mucinous carcinoma of the breast
- Ian K Komenaka, Mahmoud B El-Tamer, Andrea Troxel, Diane Hamele-Bena, Kathie-Ann Joseph, Elizabeth Horowitz, Beth-Ann Ditkoff, Freya R Schnabel
- Prognostic factors in node-negative intrahepatic cholangiocarcinoma with special reference to angiogenesis
- Ken Shirabe, Mitsuo Shimada, Eiji Tsujita, Shin-ichi Aishima, Shin-ichiroh Maehara, Sinji Tanaka, Kenji Takenaka, Yoshihiko Maehara
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?