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Hepatic hydatid cysts

Management and outcomes of open surgical treatment

Hepatische Hydatidenzysten

Management und Ergebnisse der offenen chirurgischen Behandlung

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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.

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References

  1. Asakkal N. Human hydatid disease in Mosuil. Iraqi Med J. 1982;29:80–6.

    Google Scholar 

  2. Mohmood S, Al Janabi BM. Hydatid disease in children & youth in Mousil, Iraq. Annals of Tropical Med. 1983;77:237–8.

    Google Scholar 

  3. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  4. 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.

    Google Scholar 

  5. 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.

    Google Scholar 

  6. Vagholkar KR, Nair SA, Rokade N. Disseminated intraabdominal hydatid disease. Bombay Hosp J. 2004;46:2–7.

    Google Scholar 

  7. 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.

    CAS  PubMed  Google Scholar 

  8. Kumar A, Chatropadhyay TK. Management of hydatid disease of the liver. Postgrad Med J. 1992;68:853–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Yilmaz E, Gokok N. Hydatid disease of the liver: current surgical management. BJCP 1990; 44: 612–5.

  10. 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.

    Article  CAS  PubMed  Google Scholar 

  11. 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.

    Article  CAS  PubMed  Google Scholar 

  12. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid Disease from Head to Toe. Radiographics. 2003;23:475–94.

    Article  PubMed  Google Scholar 

  15. Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease: Radiologic and pathologic features and complications. Radiographics. 2000;20:795–817.

    Article  CAS  PubMed  Google Scholar 

  16. Tuzun M, Hekimoglu B. Various locations of cystic and alveolar HD: CT appearances. J Comput Assist Tomogr. 2001;25:81–7.

    Article  CAS  PubMed  Google Scholar 

  17. 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. 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.

    Article  CAS  PubMed  Google Scholar 

  19. Al-Hashimi HM. Intrabiliary rupture of hydatid cyst of the liver. Br J Surg. 1971;58:228–32.

    Article  CAS  PubMed  Google Scholar 

  20. Agayev RM, Agayev BA. Hepatic hydatid disease: Surgical experience over 15 years. Hepatogastroenterology. 2008;55:1373–9.

    PubMed  Google Scholar 

  21. Kayaalp C, Sengul N, Akoglu M. Importance of cyst content in hydatid liver surgery. Arch Surg. 2002;137:159–63.

    Article  PubMed  Google Scholar 

  22. 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.

    Article  CAS  PubMed  Google Scholar 

  23. El Malki HO, El Mejdoubi Y, Mohsine R, et al. Intraperitoneal perforation of hepatic hydatid cyst. Gastroenterol Clin Biol. 2006;30:1214–6.

    Article  PubMed  Google Scholar 

  24. Sielaff TD, Taylor B, Langer B. Recurrence of hydatid disease. World J Surg. 2001;25:83–6.

    Article  CAS  PubMed  Google Scholar 

  25. Kapan M, Kapan S, Goksoy E, et al. Postoperative recurrence in hepatic hydatid disease. J Gastrointest Surg. 2006;10:734–9

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Authors and Affiliations

  1. General Surgery, School of Medicine/Faculty of Medical Science, Duhok University, Duhok, Iraq

    Hayder Hussein Ibrahim

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  1. Hayder Hussein Ibrahim
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Correspondence to Hayder Hussein Ibrahim.

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H.H. Ibrahim states that there are no conflicts of interest.

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Consent was obtained from all patients identifiable from images or other information within the manuscript. In the case of underage patients, consent was obtained from a parent or legal guardian.

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Ibrahim, H.H. Hepatic hydatid cysts. Eur Surg 48, 290–295 (2016). https://doi.org/10.1007/s10353-016-0431-3

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