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Large Case Series Analysis of Cystic Echinococcosis

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Abstract

In this study, it was aimed to investigate the general distribution and characteristics of hydatid cyst (HC) cases in society by a single-center comprehensive study. Three thousand ninety consecutive patients who were followed up and treated for HC in our hospital between January 2001 and December 2020 were analyzed retrospectively. It was determined that HC was seen more in males than females (54.84% and 45.16%, respectively) in childhood and more in females than males in adulthood (59.89% and 40.11%, respectively, P < 0.001). Regarding the living areas, 82.01% of the cases were living in the rural area and 17.99% in the city center (P < 0.001). It was observed that the cases increased significantly in the second ten years (72.36%) compared to the first 10 years (27.64%) (P < 0.001). At least one of the liver or lungs was involved in 95.08% of the cases. The liver was involved in 80.23% of the cases (66.87% in children, 84.94% in adults, P < 0.001) and the lung in 22.91% (38.59% in children, 17.38% in adults, P < 0.001). Other regions’ involvement percentages were as follows: spleen 2.36%, musculoskeletal system 1.59%, kidneys 1.13%, intracranial region 0.91% (2.61% in children, 0.31% in adults, P < 0.001), omentum 0.91%, mediastinum 0.61%, cardiac region 0.58%, pelvic cavity 0.58%, diaphragm 0.55%, pancreas 0.13%, retroperitoneal area 0.13%, ovarian region 0.13%, uterine wall 0.06%, thyroid glands 0.03%, and nasal cavity 0.03%. HC ratio has increased in recent years. Liver involvement is more common in adults than children. Lung and intracranial involvement are more common in children than in adults.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey

    Yener Aydin, Ali Bilal Ulas & Atilla Eroglu

  2. Anesthesiology, Clinical Research Office, Medical Faculty, Ataturk University, Erzurum, Turkey

    Yener Aydin, Ilker Ince, Hayri Ogul, Kutsi Tuncer, Fatih Ozkaya & Kamber Kasali

  3. Department of Anesthesiology and Reanimation, Medical Faculty, Ataturk University, Erzurum, Turkey

    Ilker Ince

  4. Department of General Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey

    Ercan Korkut & Gurkan Ozturk

  5. Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey

    Hayri Ogul & Suat Eren

  6. Department of Pediatric Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey

    Binali Firinci & Ahmet Bedii Salman

  7. Department of Neurosurgery, Medical Faculty, Ataturk University, Erzurum, Turkey

    Nuh Cagri Karaavci & Cagatay Calikoglu

  8. Department of Pathology, Medical Faculty, Ataturk University, Erzurum, Turkey

    Ebru Sener

  9. Department of Orthopedics and Traumatology, Medical Faculty, Ataturk University, Erzurum, Turkey

    Kutsi Tuncer

  10. Department of Infectious Diseases and Clinical Microbiology, Medical Faculty, Ataturk University, Erzurum, Turkey

    Fatma Kesmez Can

  11. Department of Urology, Medical Faculty, Ataturk University, Erzurum, Turkey

    Fatih Ozkaya & Isa Ozbey

  12. Department of Bioistatistics, Medical Faculty, Ataturk University, Erzurum, Turkey

    Kamber Kasali

  13. Department of Cardiovascular Surgery, Medical Faculty, Ataturk University, Erzurum, Turkey

    Abdurrahim Colak & Munacettin Ceviz

Authors
  1. Yener Aydin
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  2. Ali Bilal Ulas
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  3. Ilker Ince
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  4. Ercan Korkut
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  5. Hayri Ogul
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  6. Suat Eren
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  7. Binali Firinci
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  8. Nuh Cagri Karaavci
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  9. Ebru Sener
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  10. Kutsi Tuncer
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  11. Fatma Kesmez Can
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  12. Fatih Ozkaya
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  13. Kamber Kasali
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  14. Cagatay Calikoglu
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  15. Gurkan Ozturk
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  16. Abdurrahim Colak
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  17. Ahmet Bedii Salman
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  18. Isa Ozbey
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  19. Munacettin Ceviz
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  20. Atilla Eroglu
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Contributions

Conceptualization: Y.A., A.B.U., I.I., E.K., H.O., S.S., B.F., N.C.K., E.S., K.T., F.K.C., F.O.

Study design: Y.A., A.B.U., I.I.

Defining the study: Y.A., A.B.U., I.I., E.K., H.O., F.K.C.

Project writing and management: Y.A., A.B.U., I.I.

Extensive literature search: Y.A., A.B.U.

Actually performing the study viz Y.A., A.B.U., I.I., E.K., H.O., F.K.C.

Experiments-

Practical work-

Operative work: Y.A., A.B.U., I.I., E.K., B.F., N.C.K., K.T., F.O., C.C., G.O., A.C., A.B.S., I.O., M.C., A.E.

Data acquisition: Y.A., E.K., H.O., S.S., B.F., N.C.K., F.K.C., A.C.

Data analysis: Y.A., E.K., H.O., S.S., K.K., C.C., G.O.

Statistical inferences: K.K.

Manuscript writing and repeated editing and reviewing of the manuscript: Y.A., A.B.U., I.I., E.K., K.K., C.C., G.O., A.B.S., I.O., M.C., A.E.

Corresponding author

Correspondence to Yener Aydin.

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Ethics Approval

The approval of the institutional review board has been obtained.

Informed Consent

Written consent for studies and publication were obtained from the patients prior to the surgery.

Statement of Human and Animal Rights

The study has been performed in accordance with the ethical standards as laid down in the 1964 declaration of Helsinki and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Competing Interests

The authors declare no competing interests.

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Aydin, Y., Ulas, A.B., Ince, I. et al. Large Case Series Analysis of Cystic Echinococcosis. Indian J Surg 83 (Suppl 4), 897–906 (2021). https://doi.org/10.1007/s12262-021-03061-0

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  • DOI: https://doi.org/10.1007/s12262-021-03061-0

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