학술논문

Hydatid cyst excision using Dowling’s technique of hydrodissection
Document Type
Original Paper
Source
Acta Neurochirurgica: The European Journal of Neurosurgery. 164(11):2851-2854
Subject
Hydatid cyst
Neurohydatidosis
Echinococcosis
Intracerebral cyst
Dowling-Orlando technique
Hydrodissection
Surgical technique
Language
English
ISSN
0942-0940
Abstract
Abstract: Background: Neurohydatidosis is a rare zoonotic disease in nonendemic areas and a differential diagnosis of intracerebral cysts workup. Appropriate imaging modalities with serology are required for proper diagnosis. The gold standard surgical intervention is the Dowling-Orlando technique.Method: We provide a detailed description, with key surgical steps, for total excision of hydatid cysts with intact capsules by hydrodissection. We also describe the relevant surgical anatomy, with indications, limitations, and possible complications.Conclusion: Hydrodissection allows safe resection of hydatid cysts without further damage to the surrounding parenchyma and reduces the risk of cystic wall rupture.