Comparison of the results of different surgical techniques in the management of hydatid cysts of the liver

Abstract

Between 1980 and 1985, a total of 260 patients with hydatid cysts of the liver have been treated surgically at the Department of Surgery of University Hospital of Ankara. All patients with organ cysts of other than the liver are excluded. In this retrospective study, the results of different surgical techniques were compared with respect to postoperative complications, morbidity, mortality, and recurrence of disease. Patients were divided into 2 groups retrospectively. The first group (I) involved patients treated without drainage (n = 87), and the second group (II) involved patients treated with external drainage (n = 173). Postoperative complication rates were 10.8% in group I, and 65.8% in group II. Mean postoperative hospital stay was 9.9 +/- 0.8 days in group I, and 20.6 +/- 1.1 days in group II. Most of the patients in group II had purulent or biliary discharge from the drainage site (average, 199 +/- 47 days). During the follow-up period, which varied from 1 to 6 years, recurrence rates were not significantly different in the 2 groups. The results strongly suggest that in the management of uncomplicated hydatid cysts of the liver, the surgical techniques which do not employ drainage of the cystic cavity are superior to those which use drainage.

A comparison of imaging guided double percutaneous aspiration injection and surgery in the treatment of cystic echinococcosis of liver

“…In our study, all complications in the surgery group were seen to occur in patients undergoing cystectomy with tube drainage. Although the number of patients undergoing other forms of residual cavity management is small in our study (capitonnage 5 3 and omentopexy 5 2), our findings are consistent with Wani et al 39 and Demirci et al, 40 who reported higher complication rates in patients undergoing tube drainage.…”

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

“…[6,24] Demirci et al treated 260 cases of hepatic hydatid cysts using either radical or conservative approach, with a biliary leakage rate of 3.5% and 27.5% respectively. [25] In another study performed in Spain they reported biliary leakage as the most common post operative complication among 372 cases of hepatic hydatid cyst with a rate of 4.3% in those who underwent a radical approach and 25.6% in conservative one. [6] In this study, Biliary leakage was reported not to be statistically significant different using exact fisher test (p= 0.47) between the two groups of conservative (14%) and radical (6%).…”

Controversies in the Surgical Management of Hydatid Disease of the Liver

“…The incidence of biliary fistulae following conservative and radical procedures, in various series [2,6,30,33], are compared in Table 2. Analysis of these figures shows a significant reduction in the morbidity rates following "radical" surgery reported by Demirci et al and the French multicentre study but the same is nor true in the series by Magistrelli et al [5].…”