Elsevier

International Journal of Surgery

Volume 20, August 2015, Pages 118-122
International Journal of Surgery

Original research
Surgical management of hydatid liver disease

https://doi.org/10.1016/j.ijsu.2015.06.058Get rights and content
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Highlights

  • We present a large retrospective clinical study describing our long-term experience about hydatid disease.

  • Two hundred thirty two patients were operated for liver hydatid disease between 1978 and 2012.

  • Radical surgical procedures were better tolerated by our patients.

Abstract

Background

large retrospective clinical study describing the long-term experience of a single center in the surgical management of liver echinococcosis in an endemic area.

Methods

232 patients were operated for liver hydatid disease between 1978 and 2012. Seventy-three patients (Group A) underwent a radical procedure (total pericystectomy or hepatectomy), while 145 (Group B) were treated with a more conservative method (partial cystectomy, with external drainage, omentoplasty or capitonnage) and 14 (Group C) received a combination of total and partial cystectomies. Morbidity, mortality, post-operative complications and recurrence rates in the long-term setting were retrospectively evaluated.

Results

Group A patients were treated with zero mortality and a morbidity rate of 10.95%. No recurrence was documented. In Group B, mortality reached 2.76%, (p = 0.153 compared to Group A) morbidity 24.13% (p = 0.021) and there were 10 cases of relapse (6.9%) at three-year complete follow-up (p = 0.989). Extrahepatic sites of disease were not uncommon.

Discussion

radical surgical procedures were better tolerated by patients and yielded better results in terms of recurrence rates.

Keywords

Echinococcosis
Liver hydatid disease
Pericystectomy
Parasitic cyst
Radical surgical procedures

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