Operative treatment of hepatic hydatid cysts: A single center experience.
Asian J Surg
; 42(6): 702-707, 2019 Jun.
Article
en En
| MEDLINE
| ID: mdl-30446425
ABSTRACT
BACKGROUND:
Hydatid cyst is a zoonotic disease caused by Echinococcus genera. Surgery is needed in most cases. We aimed to describe our center's experience in the surgical management of hepatic hydated cysts (HHC).METHODS:
Data was retrospectively collected for patients who underwent operative management for HHC between the years 1994-2014.RESULTS:
Sixty-nine underwent surgical treatment for HHC. Group A included 34 treated with an unroofing procedure, group B included 24 patients who underwent hepatectomy and group C included 11 patients who underwent peri-cystectomy. The median ± (range) age for groups A, B and C were 39.5 (6.5-69), 40 (17-74) and 32 (20-62), respectively (P > 0.1). Post-operative complications occurred in 16, 11 and 5 patients in group A, B and C, respectively, as assessed by clavien-dindo classification (CDC). The average CDC was significantly higher in the hepatectomy group as compared to the unroofing group (2.3 vs.1.5, P = 0.04). Recurrence was significantly higher after the unroofing procedure as compared to the hepatectomy group (P = 0.05).CONCLUSION:
Surgery remains the mainstay of treatment for HHC, once surgery is pursued, the results are satisfactory.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Equinococosis Hepática
/
Hígado
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
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Aged
/
Child
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Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Asian J Surg
Año:
2019
Tipo del documento:
Article