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The Evaluation of the Surgical Treatment of Recurrent Echinococcic Cysts of the Liver Followed by Deep X-Ray Therapy¹

In 1928, Dr. John F. X. Jones operated upon a patient for echinococcic cyst of the liver. Five years later, we operated for a recurrence. At operation, it appeared that the cyst involved about one sixth of the liver substance.

After removing a large number of daughter cysts and necrotic material, the cyst was marsupialized by sewing the cut edges to the peritoneum. The cyst was then packed with five iodoform gauze packs, each pack being five yards long and two inches wide. The gauze packs were allowed to remain undisturbed for a period of three weeks and were removed at the rate of about a foot daily.

Six months after the operation, daughter cysts were being extruded from the sinus. Since this was the second recurrence, we decided to try deep x-ray therapy. We based this on the known fact that eggs lose their fertility after x-ray treatment.

¹ From Service of American Oncologic Hospital.