Question: Hello !

I have question about Echinacocus (Alveolar echinococcus, Granular echinococcosis)
I have visited doctor – and he explained me that it is important to do diagnostic like untrasonografy every year – so it is posible to diagnose Echinacocus in early stage. And early treatment surgery has excellent outcome.
The question is – Is surgery always possible after early diagnose of early Echinoccousus - as i understand there could be Echinoccousus deep located in liver or some other organs.
But - Alveolar echinococcus complete excision is very important in early stage
So in early diagnose surgery in deep organs is possible, to do complete excision, avoid any problems in future ?
I hope yes – because to much overthinking make me stress


Small cysts (<4 cm) located
deep in the parenchyma of liver, if noncomplicated, can
be managed conservatively [10]. This is due mainly to
the difficulty in approaching these deeply located cysts
http://sciXXXX.XXXX/0000/YYYY

But there is discussed other methods

. This is mainly due to the
difficulty of approaching these deeply located cysts. Intraoperative
ultrasonography may be a helpful tool in this situation.
Despite reports of good results with percutaneous drainage and
some progress in medical treatment, surgery is still the treatment
of choice for uncomplicated hydatid disease of the liver

Than you !
I’m. healthy I’m ok ! I do ultrasonography every year for me and all my family !
I’m just want to do everything and understand everything to avoid problems to my family and best thing is to understand!
You said that
If located centrally, it has to be drained via hepatotomy ; after evacuation
cavity exploration for possible bile duct communication is done.
Remaining cyst cavity is either obliterated with omentoplasty with drainage.

I was doing research ! And it is said that - radical surgical procedure compare to other procedure is the best treatment with low zero mortality and low morbidity rate
In conclusion, we provide evidence that radical procedures can be effective in the surgical treatment of liver hydatid disease, since they can offer definite cure, with low mortality and morbidity rates
https://www.sciXXXX.XXX/0000

and other methods
Laparoscopic procedures for treating liver echinococcosis (partial cystectomy and drainage, with or without marsipulization) have been successfully applied by many surgeons, provided that the size and the location of the cyst permit so. However, these techniques call for certain expertise and there is also significant risk of spilling the hydatid cyst's contents into the peritoneal cavity during decompression of the cyst, raising peri-operative morbidity and likelihood of multiple-site recurrence in the long term. In our institute, initial experience with laparoscopic approaches was discouraging and we now employ only open laparotomy procedures, in an effort to provide a one-stage, safe and definite treatment. Moreover, current evidence is not totally in favor of laparoscopic procedures
https://www.sciXXXX.XXX/0000

And it is said that said that radical surgery is done in Centrally Located Echinococcal
Cysts of the Liver


Nine pts with 15 cysts underwent radical surgery and 1 patient
underwent non radical operation (1 subtotal pericystectomy). Four of them
had multiple cysts. Mean operative time was 236 min. Mean postoperative stay
was 5, 2± 2, 52 days (range 3-10). No intra or postoperative complications were
observed after radical surgery. A bile leak that healed spontaneously after 9 days
occurred in patient with subtotal pericystectomy. Mean follow-up is longer than
3 years.
http://medXXXX.XXX/0000


In conclusion – surgery is best in Centrally Located Echinococcal Cysts with good outcome !

Thank you for your help !
I was reading materials about risks factors associated to echinococcus transmission
And i understand that anyone can get it – and was reading risk factors and i was surprised about risk factor like
Contact by air –
inhaling dust containing tapeworm eggs, possibly during field work
https://www.XXXX.XXX/0000/

I think it is very rare
But i don’t think it is a huge risk factor – as all of us would be infected

People can also
become infested through the inhalation of eggs
in dust on windy days or from eggs transmitted
by flies
https://www.XXXX.XXX/0000

And there were lot risk factors for AE echinococcus – but I don’t think to some i must play attention, as it would be everything is dangerous and I cannot even walk and rest with my family in forest or countryside as it would be – just sit at home and don’t move
https://www.XXXX.XXX/0000/


And there where risk factor also drinking well water - but there were no more info about depth of well and so one
http://sciXXXX.XXX/0000

As i understand it is important how deep is layer of water – as it is deeper – and older echinococcus can not survive in it ! As i have been drinking fresh deep water for all my life – without any problems! Because it is deep – and rather long time in water layer.
And i was reading that humans are relative resistant to AE echinococcus

It may be assumed that a minority of individuals among humans (estimated to 1 out of 10 subjects) allows the development of the E. multilocularis metacestode after a contact with E. multilocularis oncospheres, the infectious component produced by the adult worm in the intestine of carnivores, which are definitive hosts
https://www.XXXX.XXX/0000

Is humans also resistant to E. Granulosus ?

I conclusion everyone can get echinococcus – it is important to do regular screning, and live normal life with good hygiene !

Thank you

Echinococcus multilocularis -first of all affects liver - and then spread to other parts !

As regular diagnostic it will be found in liver !

or ir late stage it would transmit to lungs and other parts of body !