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Erschienen in: European Surgery 5/2016

01.10.2016 | original article

Hepatic hydatid cysts

Management and outcomes of open surgical treatment

verfasst von: Assistant. Prof. Dr. Hayder Hussein Ibrahim

Erschienen in: European Surgery | Ausgabe 5/2016

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Summary

Background

Hepatic hydatid cystic disease continues to be a serious health problem and is endemic in Iraq. There are of two types of cysts: noncomplicated and complicated cysts. Open surgery is widely practiced for both types. The aim of this study was to evaluate the clinical features, management, and outcome of surgical treatment in both types of cyst.

Methods

The study included 150 patients operated on between 1996 and 2014. The patients’ demographic data, location, number, size, type of cysts, surgical procedure performed, morbidity, recurrences, and duration of hospital stay were recorded.

Results

There were 102 female and 48 male patients with an age range of 4–70 years. There were more patients with noncomplicated cysts than complicated cysts – 94 and 56 patients, respectively. The complicated disease group had significantly more pronounced clinical presentations (p < 0.001) and higher postoperative morbidity (p < 0.001), and without significant change in recurrence rate (p = 0.059). Mean postoperative hospitalization time for noncomplicated cysts was 3.2 days, and for complicated cysts 5.6 days (p < 0.001).

Conclusion

The most common type of hydatid cyst is the noncomplicated type, which has lower complication rates and shorter hospital stay regardless of the management technique of the cyst cavity. Therefore, complicated and noncomplicated cysts should be considered as different forms of the disease entity with different outcomes.
Literatur
1.
Zurück zum Zitat Asakkal N. Human hydatid disease in Mosuil. Iraqi Med J. 1982;29:80–6. Asakkal N. Human hydatid disease in Mosuil. Iraqi Med J. 1982;29:80–6.
2.
Zurück zum Zitat Mohmood S, Al Janabi BM. Hydatid disease in children & youth in Mousil, Iraq. Annals of Tropical Med. 1983;77:237–8. Mohmood S, Al Janabi BM. Hydatid disease in children & youth in Mousil, Iraq. Annals of Tropical Med. 1983;77:237–8.
3.
Zurück zum Zitat Rinaldi F, Brunetti E, Neumayr A, Maestri M, Goblirsch S, Tamarozzi F. Cystic echinococcosis of the liver: A primer for hepatologists. World J Hepatol. 2014;6(5):293–305. CrossRefPubMedPubMedCentral Rinaldi F, Brunetti E, Neumayr A, Maestri M, Goblirsch S, Tamarozzi F. Cystic echinococcosis of the liver: A primer for hepatologists. World J Hepatol. 2014;6(5):293–305. CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Milicevic M. Hydatid disease. In: Blumgart LH, Fong Y, editors. Surgery of the Liver and Biliary Tract, 3rd edn. London: Churchill Livingstone; 1994. pp. 1121–50. Milicevic M. Hydatid disease. In: Blumgart LH, Fong Y, editors. Surgery of the Liver and Biliary Tract, 3rd edn. London: Churchill Livingstone; 1994. pp. 1121–50.
5.
Zurück zum Zitat Al-Toma AA, Vermeijden RJ, Van De Wiel A. Acute pancreatitis complicating intrabiliary rupture of liver hydatid cyst. Eur. J Intern Med. 2004;15:65–7. Al-Toma AA, Vermeijden RJ, Van De Wiel A. Acute pancreatitis complicating intrabiliary rupture of liver hydatid cyst. Eur. J Intern Med. 2004;15:65–7.
6.
Zurück zum Zitat Vagholkar KR, Nair SA, Rokade N. Disseminated intraabdominal hydatid disease. Bombay Hosp J. 2004;46:2–7. Vagholkar KR, Nair SA, Rokade N. Disseminated intraabdominal hydatid disease. Bombay Hosp J. 2004;46:2–7.
7.
Zurück zum Zitat Ariogul O, Emre A, Alper A, Uras A. Introflexion as a method of surgical treatment for hydatid disease. Surg Gynecol Obstet. 1989;169:356–8. PubMed Ariogul O, Emre A, Alper A, Uras A. Introflexion as a method of surgical treatment for hydatid disease. Surg Gynecol Obstet. 1989;169:356–8. PubMed
9.
Zurück zum Zitat Yilmaz E, Gokok N. Hydatid disease of the liver: current surgical management. BJCP 1990; 44: 612–5. Yilmaz E, Gokok N. Hydatid disease of the liver: current surgical management. BJCP 1990; 44: 612–5.
10.
Zurück zum Zitat Safioleas M, Misiakos E, Mann C, Karsikas D, Skalkeas G. Diagnostic evalution and surgical management of hydatid disease of the liver. World J Surg. 1994;18:859–65. CrossRefPubMed Safioleas M, Misiakos E, Mann C, Karsikas D, Skalkeas G. Diagnostic evalution and surgical management of hydatid disease of the liver. World J Surg. 1994;18:859–65. CrossRefPubMed
11.
Zurück zum Zitat Demirci S, Eraslan S, Anadol E, Bozatli L. Comparison of the results of different surgical techniques in the management of hydarid cysts of the liver. World J Surg. 1989;13:88–91. CrossRefPubMed Demirci S, Eraslan S, Anadol E, Bozatli L. Comparison of the results of different surgical techniques in the management of hydarid cysts of the liver. World J Surg. 1989;13:88–91. CrossRefPubMed
12.
Zurück zum Zitat Akcan A, Sozuer E, Akyildiz H, et al. Predisposing factors and surgical outcome of complicated liver hydatid cysts. World J Gastroenterol. 2010;16:3040–8. CrossRefPubMedPubMedCentral Akcan A, Sozuer E, Akyildiz H, et al. Predisposing factors and surgical outcome of complicated liver hydatid cysts. World J Gastroenterol. 2010;16:3040–8. CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Chautems R, Buhler LH, Gold B, et al. Surgical management and long-term outcome of complicated liver hydatid cysts caused by Echinococcus granulosus. Surgery. 2005;137:312–6. CrossRefPubMed Chautems R, Buhler LH, Gold B, et al. Surgical management and long-term outcome of complicated liver hydatid cysts caused by Echinococcus granulosus. Surgery. 2005;137:312–6. CrossRefPubMed
14.
Zurück zum Zitat Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid Disease from Head to Toe. Radiographics. 2003;23:475–94. CrossRefPubMed Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid Disease from Head to Toe. Radiographics. 2003;23:475–94. CrossRefPubMed
15.
Zurück zum Zitat Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease: Radiologic and pathologic features and complications. Radiographics. 2000;20:795–817. CrossRefPubMed Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease: Radiologic and pathologic features and complications. Radiographics. 2000;20:795–817. CrossRefPubMed
16.
Zurück zum Zitat Tuzun M, Hekimoglu B. Various locations of cystic and alveolar HD: CT appearances. J Comput Assist Tomogr. 2001;25:81–7. CrossRefPubMed Tuzun M, Hekimoglu B. Various locations of cystic and alveolar HD: CT appearances. J Comput Assist Tomogr. 2001;25:81–7. CrossRefPubMed
17.
Zurück zum Zitat Junghanss T, da Silva AM, Horton J, Chiodini PL, Brunetti E. Clinical management of cystic echinococcosis: state of the art, problems, and perspectives. Am J Trop Med Hyg 2008; 79: 301-311 [PMID: 18784219]. Junghanss T, da Silva AM, Horton J, Chiodini PL, Brunetti E. Clinical management of cystic echinococcosis: state of the art, problems, and perspectives. Am J Trop Med Hyg 2008; 79: 301-311 [PMID: 18784219].
18.
Zurück zum Zitat Balik AA, Başoğlu M, Celebi F, Oren D, Polat KY, Atamanalp SS, Akçay MN. Surgical treatment of hydatid disease of the liver: review of 304 cases. Arch Surg. 1999;134:166–9. CrossRefPubMed Balik AA, Başoğlu M, Celebi F, Oren D, Polat KY, Atamanalp SS, Akçay MN. Surgical treatment of hydatid disease of the liver: review of 304 cases. Arch Surg. 1999;134:166–9. CrossRefPubMed
19.
Zurück zum Zitat Al-Hashimi HM. Intrabiliary rupture of hydatid cyst of the liver. Br J Surg. 1971;58:228–32. CrossRefPubMed Al-Hashimi HM. Intrabiliary rupture of hydatid cyst of the liver. Br J Surg. 1971;58:228–32. CrossRefPubMed
20.
Zurück zum Zitat Agayev RM, Agayev BA. Hepatic hydatid disease: Surgical experience over 15 years. Hepatogastroenterology. 2008;55:1373–9. PubMed Agayev RM, Agayev BA. Hepatic hydatid disease: Surgical experience over 15 years. Hepatogastroenterology. 2008;55:1373–9. PubMed
21.
Zurück zum Zitat Kayaalp C, Sengul N, Akoglu M. Importance of cyst content in hydatid liver surgery. Arch Surg. 2002;137:159–63. CrossRefPubMed Kayaalp C, Sengul N, Akoglu M. Importance of cyst content in hydatid liver surgery. Arch Surg. 2002;137:159–63. CrossRefPubMed
22.
Zurück zum Zitat Gunay K, Taviloglu K, Berber E, et al. Traumatic rupture of hydatid cysts: A 12-year experience from an endemic region. J Trauma. 1999;46:164–7. CrossRefPubMed Gunay K, Taviloglu K, Berber E, et al. Traumatic rupture of hydatid cysts: A 12-year experience from an endemic region. J Trauma. 1999;46:164–7. CrossRefPubMed
23.
Zurück zum Zitat El Malki HO, El Mejdoubi Y, Mohsine R, et al. Intraperitoneal perforation of hepatic hydatid cyst. Gastroenterol Clin Biol. 2006;30:1214–6. CrossRefPubMed El Malki HO, El Mejdoubi Y, Mohsine R, et al. Intraperitoneal perforation of hepatic hydatid cyst. Gastroenterol Clin Biol. 2006;30:1214–6. CrossRefPubMed
24.
Zurück zum Zitat Sielaff TD, Taylor B, Langer B. Recurrence of hydatid disease. World J Surg. 2001;25:83–6. CrossRefPubMed Sielaff TD, Taylor B, Langer B. Recurrence of hydatid disease. World J Surg. 2001;25:83–6. CrossRefPubMed
25.
Zurück zum Zitat Kapan M, Kapan S, Goksoy E, et al. Postoperative recurrence in hepatic hydatid disease. J Gastrointest Surg. 2006;10:734–9 Kapan M, Kapan S, Goksoy E, et al. Postoperative recurrence in hepatic hydatid disease. J Gastrointest Surg. 2006;10:734–9
Metadaten
Titel
Hepatic hydatid cysts
Management and outcomes of open surgical treatment
verfasst von
Assistant. Prof. Dr. Hayder Hussein Ibrahim
Publikationsdatum
01.10.2016
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 5/2016
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-016-0431-3