Radical surgery for liver hydatidosis

Abstract

We have read with great interest the article published by Ramia et al. on "Radical surgery in hepatic hydatidosis: analysis of results in an endemic area", where they prioritize the ultrasound evaluation according to the WHO classification, as a method for the surgical planning of the hepatic hydatid cyst (HHC). However, pharmacological treatment and the application of computed tomography with contrast (CCCT) during preoperative evaluations have not been properly described, despite the evidence found in the literature that considers them as success factors. For their part, Velasco and Cols. consider pre and post surgical pharmacological treatment to be recommended and, additionally, Zhang and Cols. recommend the use of CCCT for pre-surgical evaluations, due to a better morphological visualization allowing a positive impact on surgical results.