@entity409 in @entity1 is a serious problem where the parasite is endemic. Although surgery is considered the treatment of choice, medical therapy is an alternative, but its curative efficacy is controversial. The aims of this study were to evaluate the curative efficacy of medical treatment and compare the results of surgical techniques with respect to @entity260 in 102 consecutive @entity1 (64 male and 38 female, aged 4 to 15 years, mean 8.15 years) treated in two @entity1 's hospitals between 1988 and 1997. In 67, medication with @entity3753 was used as the initial therapy; 17 had multiple @entity99 and 8 had coexisting cysts in the lung. Success was defined as progressive shrinkage and solidification of the cyst. The overall success of medical therapy was approximately 27%: 18 of the 67 @entity1 were cured with @entity3753 (15 had a single cyst, 3 multiple cysts) and 1 recurrence (6%) was observed. Age, sex, and the size, location, and number of cysts did not show any relationship to the response to medical therapy. After 12 to 14 weeks of medical treatment, a viable cyst on ultrasonography and/or computed tomography was accepted as a sign of treatment failure and these @entity1 were scheduled for surgery. A total of 84 @entity1 (35 primarily, 49 after unsuccessful medical therapy) were treated surgically. Procedures included cystectomy and tube drainage in 11 @entity1 , cystectomy in 17, cystectomy and capitonnage in 24, and cystectomy and omentoplasty in 32. The incidence of @entity260 was 55% for tube drainage, 18% for cystectomy, 13% for capitonnage, and 0% for omentoplasty. During the follow-up period, 2 surgical @entity1 (2%) developed recurrent disease. Medical treatment with @entity3753 resulted in fewer curative successes than expected. A longer period of medical treatment may increase the success rate; this question requires further study. Omentoplasty decreased the rate of @entity260 , especially @entity733 and @entity3116 , after surgical treatment and should be recommended in this setting.

XXXX in childhood: the success of medical therapy and surgical alternatives.

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity3753 :: ('MESH:D015766', 'Chemical') :: ['albendazole'] @entity409 :: ('MESH:D008107', 'Disease') :: ['Hydatid liver disease'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications', 'early postoperative complications'] @entity733 :: ('MESH:D000038', 'Disease') :: ['cavity abscess'] @entity3116 :: ('MESH:D001658', 'Disease') :: ['biliary fistula'] @entity99 :: ('MESH:D056486', 'Disease') :: ['hepatic cysts']
@entity409 :: (MESH:D008107,Disease) :: ['Hydatid disease of the liver']
