Cystic Echinococcosis is a parasitic disease caused by the mature form of the cestode belonging to the genus Echinococcus, where the definitive hosts are species of dogs. (17)
Although echinococcosis is hyperendemic in Mediterranean countries, the limited knowledge of epidemiological data, the long development time of the disease, and the lack of awareness of the economic damage from zoonoses, result in this disease being underestimated by the population, the media, and by health authorities. (18)
The presence of Echinococcus granulosus is mainly associated with pastoral areas. (19).
Surgical treatment is currently considered the method of choice in the treatment of echinococcosis, (20) but surgical intervention cannot be practiced on very small cysts, numerous in number or difficult to place. It is contraindicated in elderly patients or those with cardiac, renal or hepatic problems, diabetics, etc., as well as in pregnant women.
The PAIR technique was introduced in the mid '80s as a surgical technique for the treatment of hydatid cysts in a less invasive, safer, and more economical manner. (21)
This technique is applicable to liver cysts that according to the WHO classification, belong to CL, CE1, CE2, and CE3. (22)
The aim of this presentation is to inform about the advantages of the PAIR technique for application in suitable cases, and why not, the organization and complete knowledge for its application also in Albania.
Dr. Viktor QERESHNIKU
Specialized surgeon in hepato biliary surgery.
Tirana, September 19, 2012
1. Garlaschelli et al., 2004.
Classification by ultrasound of the Informal Working Group on Echinococcosis – World Health Organization.
Stage according to WHO classification. Ultrasound features.
2. Eckert et al. F. 2. Echinococcosis/Hydatidosis: New realities. 2004 – 2007.
ECHINOCOCCOSIS/HYDATIDOSIS:NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07
3. C. Filice, E. Brunetti.
Ultrasound and infectious diseases of the liver. Edimes. Medical Scientific Editions. Pavia. Chapter X. page 131.
4. SEMLALI S, CHAOUIR S. : IMAGING OF HYDATID DISEASE
Medical imaging services.
Military Instruction Hospital Mohamed V. Rabat. Morocco.
5. Eckert and Deplazes. 2004.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO.
Academic Years 2004-05/ 2006-07. Page 54.
6. C. Filice., E. Brunetti. : Ultrasound and infectious diseases of the liver. Edimes. Medical-Scientific Editions – Pavia. 1997. Page 155.
7. Eckert and Deplazes, 2004.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOL ; Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07. Page 57.
8. Eckert et al., 2001.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ;Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07. Page 55
9. McManus et al., 2003.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO.
Academic Years 2004-05/ 2006-07. Page 55.
10. Ammann and Eckert, 1996; De Rosa et al., 1996; Horton,1997.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07. Page 56.
11. Eckert 2001 et al :
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07. Page 56.
12. C. Filice., E. Brunetti. : Ultrasound and infectious diseases of the liver. Edimes. Medical-Scientific Editions – Pavia. 1997. Page 150.
13. Brunetti et al. 2004 :
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07. Page 56.
14. Eckert et al., 2001.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ; Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07. Page 57.
15. Italian Journal of Ultrasound; 2005. 8(2). 141-149.
Ultrasound management of hydatid cysts
M. Caremani*, L. Lapini*, D. Tacconi*, P. Giorni*, A. Caremani**
Infectious Diseases Department - S. Donato Hospital - Arezzo; ** Section of Hematology - S. Donato Hospital – Arezzo. Page 148.
16. Filice C, E Brunetti.
Acta Trop. 1997 Apr 1, 64 (1-2) :95-107.
The use of PAIR in human cystic echinococcosis.Division of Infectious and Tropical Diseases, IRCCS S. Matteo, University of Pavia, Italy.
17. Zhang and McManus, 2006. Page 5.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ;Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07.
18. Bortoletti, personal data; Mantovani and Lasagna, 2004; Poglayen et al., 2007. Page 3.)
Garippa et al., 2004. Page 19 )
19. Garippa et al., 2004. Page 19.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ;Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07.
20. Eckert et al., 2001. Page 52.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ;Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07.
21. Brunetti et al. 2004. Page 54.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ;Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07.
22. Eckert and Deplazes, 2004. Page 54.
ECHINOCOCCOSIS/HYDATIDOSIS: NEW REALITIES
Dr. Maria Paola MAURELLI ; Prof. Giuseppe CRINGOLI ;Prof. Giuseppe PAINO
Academic Years 2004-05/ 2006-07.