Surgical treatment of hydatid disease of the liver: review of 304 cases

To review the results of different modalities of treatment of hydatid disease of the liver. Retrospective study of 304 patients. A university hospital in Turkey. Three hundred four patients with hepatic hydatid disease who underwent operation between 1981 and 1996. Mortality and morbidity. Two hundr...

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Bibliographic Details
Published in:Archives of surgery (Chicago. 1960) Vol. 134; no. 2; p. 166
Main Authors: Balik, A A, Başoğlu, M, Celebi, F, Oren, D, Polat, K Y, Atamanalp, S S, Akçay, M N
Format: Journal Article
Language:English
Published: United States 01-02-1999
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Summary:To review the results of different modalities of treatment of hydatid disease of the liver. Retrospective study of 304 patients. A university hospital in Turkey. Three hundred four patients with hepatic hydatid disease who underwent operation between 1981 and 1996. Mortality and morbidity. Two hundred thirty-eight patients had a cyst on the right lobe, 41 patients had a cyst on the left lobe, and 25 patients had a cyst on both lobes. Forty-five patients had multiple hepatic cysts and 18 patients had coexisting cysts in other intra-abdominal organs. Surgical procedures were tube drainage, capitonnage, omentoplasty, cystectomy, segmentectomy, and cystoenterostomy. Of the patients with tube drainage, 36 developed an infection of the remaining cavity, 10 developed long-lasting biliary fistula, 8 developed cholangitis, and 6 developed septicemia. Four patients died of unreleated complications. Of the patients with capitonnage, 7 developed cholangitis and 3 developed an infection of the remaining cavity. Of the patients with omentoplasty, 1 developed an infection of the remaining cavity and 1 developed cholangitis. One patient who underwent segmentectomy developed pulmonary complications. Of the patients with cystoenterostomy, 1 developed cholangitis, 1 developed septicemia, and 1 developed pulmonary complications. For management of hydatid disease of the liver, capitonnage, omentoplasty, cyst excision, segmentectomy, or cystoenterostomy are all superior to tube drainage.
ISSN:0004-0010
DOI:10.1001/archsurg.134.2.166