Biliary Complications After Hydatid Liver Surgery

Kayaalp, Cüneyt; Bzeizi, Khalid; Demirbağ, Ali Eba; Akoğlu, Musa

doi:10.1016/s1091-255x(02)00046-x

Cited by 76 publications

(87 citation statements)

References 16 publications

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“…The most common complication reported in hydatid cyst operation is bile leakage, more than 50% in some studies. [22,23] The main cause of bile leakage is abnormal path between the cyst and biliary tracts. After cyst drainage a pressure gradient makes bile flow direction to change from duodenum to the cyst cavity [24] and if not drained perfectly leads to an abscess in the remained cavity, biloma, or peritonitis.…”

Section: Discussionmentioning

confidence: 99%

Study of the Radical vs. Conservative Surgical Treatment of the Hepatic Hydatid Cyst: A 10-Year Experience

et al. 2010

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The hepatic hydatid cyst is a major health problem in endemic areas. Surgery is still the best choice for the treatment of hydatid cyst of the liver. There is controversy regarding efficacy of radical versus conservative surgical approaches. In this study, we aimed to evaluate the two surgical methods in patients treated for the hepatic hydatid cyst. This is a retrospective review of the medical records of 135 patients who underwent surgery for the hepatic hydatid cyst from 1993 to 2003. Surgery comprised conservative methods (evacuation of the cyst content and excision of the inner cyst layers) and radical methods (total excision of the cyst and removal of its outer layer). One hundred thirty five patients underwent liver surgery. Conservative surgery was performed for 71 (53%), whereas, the remaining 64 patients (47%) underwent radical surgery. Local recurrence rate of the cysts was lower in the radical versus conservative surgery group and the mean length of hospital stay was shorter in the radical surgery group. Radical surgery of the hepatic hydatid cyst may be the preferred treatment because of its low rate of local recurrence, as well as short hospital stay.

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Section: Discussionmentioning

confidence: 99%

Study of the Radical vs. Conservative Surgical Treatment of the Hepatic Hydatid Cyst: A 10-Year Experience

et al. 2010

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“…The annual incidence rate in Turkey is 4.4-6.5/100,000 and giant hydatid cysts are rarely seen 14 . HC is observed slightly more in women than in man (female ≥ man) 15 . In our study, the rate of women with HC was 53.3%.…”

Section: Resultsmentioning

confidence: 92%

“…Echinococcus granulosus (EG) is the most common cause of HC and is largely localized in the liver 14,15 . It can also be found, less frequently, in the lung, spleen, kidney and brain 16 .…”

Section: Hc Results From a Chronic Disease Caused By Infection From Ementioning

confidence: 99%

Comparison of Larger Diameter and Multiple Cysts in the Treatment of Giant Hydatid Cysts of Liver

Aziret¹,

Bozkurt²,

Erdem³

et al. 2016

Kafkas J Med Sci

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AIM: Hepatic hydatidosis is a benign, chronic parasitic disease that can affect many organs. The disease is usually asymptomatic, but the cysts that develop as a result of the disease can reach large sizes. We aimed to compare large hydatid cysts (>10 cm) and multiple cysts (>4) in giant hydatid cysts of liver in terms of 39.5 years, 25.5 kg/ m2, 11.75 cm, 9.8 days and 21.4 months, respectively. In Group 2, the patients' mean age, BMI, number of cysts and hospitalization time were 44.7 years, 27.7 kg/m2, 8.3 cysts, 8.6 days and 17.1 months, respectively (p>0.05 yaş, vücut kitle indeksi, kist çapı, hastanede kalma süresi, takip süresi; 39, 5 yıl,25, 5 kg/ m2,11, 75 cm,9,8 gün,21, 4 aydı. Grup 2'de hastaların sırasıyla ortalama yaş, vücut kitle indeksi, kist sayısı, hastanede kalma süresi, takip süresi; 44,7 yıl,27,7 kg/m2,8,3 adet,8,6 gün,17,1 aydı (p>0,05

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“…19,20,21 92.3% were more than five cm, indicating late presentation due to hydatid slow growth and 42.5% cysts were deep (> 2cm from surface). The average size of cysts was 9.8 cm (1-37 cm).…”

Section: Discussionmentioning

confidence: 97%

Hydatid Cyst in the Past and the Present

Kamble¹,

Kamble²,

Thawait³

et al. 2014

jemds

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BACKGROUND:Hydatid cyst is a parasitic infection that is widely endemic in India. It is a zoonotic disease with man being an accidental dead end host. Despite its world-wide affection, its diagnosis still remains a matter of challenge due to lack of an authentic gold standard for its early detection. In such cases, clinical judgment and high index of suspicion, in an endemic area is a worthy tool. AIMS AND OBJECTIVES: The study was undertaken to highlight important clinical features of hydatid cyst to help early diagnosis and management, the rare presentations of hydatid cysts in an endemic belt of Maharashtra along with their management and the shift that had occurred from past to present in hydatid cyst management along with future implications. MATERIALS AND METHODS:The hydatid cyst pattern (etiology, symptomatology, diagnosis and treatment) was retrospectively analyzed in operated hospitalized patients at three hospitals, GMC, Nagpur, VNGMC, Veotmal and MGIMS, Sewagram from 1975 to 2010 at different cross-sections of time. RESULTS: A total of 560 patients, 289 males and 271 females, who were diagnosed and operated for hydatid cyst, were evaluated. The mean age of presentation was 39.8 years with 61.9% rural population. Abdominal pain was most common compliant among symptomatic group (88.5%). Liver was most commonly involved (56.9%) followed by lung (32.7%). The most common radiological method to diagnose the disease was ultrasonography, with 91.4% accuracy, followed by CT scan. Multiple organ involvement was seen in 11.1% cases. The recurrence rate was 3.7%. There was no mortality and no serious postoperative complication other than bile leak (8.4%) and pus discharge (4.1%) from drain. Preoperative Albendazole followed by surgery and postoperative albendazole had a definite role in preventing recurrence. The mean hospital stay was 10.8 + 2.67 (3-35) days. CONCLUSION: A sound knowledge of various modes of presentation of hydatid disease, combined with clinical judgment, high suspicion in endemic areas and confirmation by newer diagnostic modalities like USG and CT is required for early diagnosis and treatment and prevent complications.

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Biliary Complications After Hydatid Liver Surgery

Cited by 76 publications

References 16 publications

Study of the Radical vs. Conservative Surgical Treatment of the Hepatic Hydatid Cyst: A 10-Year Experience

Study of the Radical vs. Conservative Surgical Treatment of the Hepatic Hydatid Cyst: A 10-Year Experience

Comparison of Larger Diameter and Multiple Cysts in the Treatment of Giant Hydatid Cysts of Liver

Hydatid Cyst in the Past and the Present

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