Operative treatment of hepatic hydatid cysts: A single center experience

被引:11
作者
Marom, Gad [1 ]
Khoury, Tawfik [2 ]
Abu Gazla, Samir [1 ]
Merhav, Hadar [1 ]
Padawer, Dan [1 ]
Benson, Ariel A. [2 ]
Zamir, Gidon [1 ]
Luques, Lisandro [1 ]
Safadi, Rifaat [2 ]
Khalaileh, Abed [1 ]
机构
[1] Hadassah Hebrew Univ, Dept Surg, Med Ctr, POB 1200, IL-91120 Ein Kerem, Israel
[2] Hadassah Med Ctr, Dept Gastroenterol & Liver Dis, Jerusalem, Israel
关键词
Echinococcus; Hydated cyst; Liver surgery; Morbidity; Mortality; RADICAL SURGERY; LIVER; MANAGEMENT; ECHINOCOCCOSIS;
D O I
10.1016/j.asjsur.2018.09.013
中图分类号
R61 [外科手术学];
学科分类号
摘要
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. (C) 2018 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V.
引用
收藏
页码:702 / 707
页数:6
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