Resection of suprarenal inferior vena cava and dacron graft replacement without right nephrectomy for echinococcal cyst. Case report and review of the literature.

A case of a hepatic echinococcal cyst of the right lobe (diam. 16 cm.) involving the anterior wall of the retrohepatic inferior vena cava is reported. During surgery, the vein was occasionally damaged and suture of the lesion was not possible. Therefore resection of the retrohepatic vena cava was performed and the segmental continuity was replaced with a dacron graft (1,6 X 5 cm.). The patient had an uneventful recovery. The controls at 6, 12 and 24 months showed excellent permeability of the prosthesis. This report represents the second long-term survival case of the literature. The indications for graft replacement of the inferior vena cava, are discussed

Surgical management of liver hydatidosis. 10-year experience with 269 patients.

A series of 269 patients with 371 surgically treated hydatid cysts of the liver is reported. Cystopericystectomy was performed in 45.2% of cases, liver resection in 7%, subtotal cystectomy in 26.9%, cystojejunostomy in 1.8% and drainage in 9.7%. Overall mortality and morbility were 2.9% and 31% respectively, with a mean hospital stay of 29 days. The highest mortality (6%) and morbility (45%) were observed in patients undergoing subtotal cystectomy. In the group of patients treated by conservative surgery the overall mortality was 32.5%, while in the group treated by radical surgery it was 27% (p less than 0.05). These data suggest that in the treatment of hydatid disease radical resection is followed by the lowest complication and mortality rates

Advanced trauma life support, 8th edition, the evidence for change.

The American College of Surgeons Committee on Trauma's Advanced Trauma Life Support Course is currently taught in 50 countries. The 8th edition has been revised following broad input by the International ATLS subcommittee. Graded levels of evidence were used to evaluate and approve changes to the course content. New materials related to principles of disaster management have been added. ATLS is a common language teaching one safe way of initial trauma assessment and management