Journal of Surgery

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Conservative Hepatic Hydatid Cyst Surgery

Received: 13 March 2017    Accepted: 23 March 2017    Published: 12 April 2017
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Abstract

The principal objectives to be achieved by surgical treatment are total removal of all parasitic elements, avoidance of spillage of contents of the cyst and management of the residual pericyst cavity. Thirty four patients with thirty five hepatic hydatid disease were included in the study. The data for this work were collected between 9-2015 till 9 -2016. The mean age were 38.6+13.2 years. There were twenty female and fourteen males. The main presentation was upper abdominal mass, 25 (73.5%) were in the right lobe, 8 (23.5%) were in the left lobe and only one (3%) was bilaterally presented. Conservative surgery in the form of cystotomy (with or without omental packing), and external drainage were applied to 32 cysts (91.4%) while radical surgery were applied to three cysts (8.6%) in the form of pericystectomy and partial hepatectomy. LOS in the conservative group was 6.3+2.5 day while in the radical group was 13.3+8.3 day (P<0.001 HS). There were two cases of post operative bile leak in the omental pack group (22.2%) and only one case (33.3%) among the three cases of external drainage group, so in the conservative surgery there were three cases (9.3%) and they resolved spontaneously. There were two redo one in the cystotomy patients, the other in the pericystectomy patients. Conclusion: Conservative surgery could be done with success in hepatic hydatid disease and resection procedures are too radical and extensive for benign lesions.

DOI 10.11648/j.js.20170502.14
Published in Journal of Surgery (Volume 5, Issue 2, April 2017)
Page(s) 28-32
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hepatic, Hydatid, Cysts, Unilocularis, Multilocularis, Conservative Surgery, Radical Surgery

References
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[17] Mohkam K, Belkhir L, Wallon M, Darnis B, Peyron F, Ducerf C, Gigot JF, Mabrut JY. (2006): Surgical management of liver hydatid disease: subadventitial cystectomy versus resection of the protruding dome. World J Surg; 38 (8): 2113-21.
[18] Ali Ezer, Tarik Zafer Nursal, Gökhan Moray, Sedat Yildirim, Feza Karakayali, Turgut Noyan,. (2006): Surgical treatment of liver hydatid cysts. HPB (Oxford); 8 (1): 38–42.
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Author Information
  • Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt

  • Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt

  • Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt

  • Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt

  • Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt

  • Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt

  • Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt

  • Surgery Department, Fayum Faculty of Medicine, Fayum University, Fayum, Egypt

Cite This Article
  • APA Style

    Mohamed Salah Abdelhamid, Tamer Mohamed Nabil, Hesham Ahmed Nafady, Amr Mohamed Ali, Ahmed Mohamed Rashad, et al. (2017). Conservative Hepatic Hydatid Cyst Surgery. Journal of Surgery, 5(2), 28-32. https://doi.org/10.11648/j.js.20170502.14

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    ACS Style

    Mohamed Salah Abdelhamid; Tamer Mohamed Nabil; Hesham Ahmed Nafady; Amr Mohamed Ali; Ahmed Mohamed Rashad, et al. Conservative Hepatic Hydatid Cyst Surgery. J. Surg. 2017, 5(2), 28-32. doi: 10.11648/j.js.20170502.14

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    AMA Style

    Mohamed Salah Abdelhamid, Tamer Mohamed Nabil, Hesham Ahmed Nafady, Amr Mohamed Ali, Ahmed Mohamed Rashad, et al. Conservative Hepatic Hydatid Cyst Surgery. J Surg. 2017;5(2):28-32. doi: 10.11648/j.js.20170502.14

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  • @article{10.11648/j.js.20170502.14,
      author = {Mohamed Salah Abdelhamid and Tamer Mohamed Nabil and Hesham Ahmed Nafady and Amr Mohamed Ali and Ahmed Mohamed Rashad and Seham Anwar Emam and Ibrahim Said Abdelaziz and Tamer Elgaabary},
      title = {Conservative Hepatic Hydatid Cyst Surgery},
      journal = {Journal of Surgery},
      volume = {5},
      number = {2},
      pages = {28-32},
      doi = {10.11648/j.js.20170502.14},
      url = {https://doi.org/10.11648/j.js.20170502.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20170502.14},
      abstract = {The principal objectives to be achieved by surgical treatment are total removal of all parasitic elements, avoidance of spillage of contents of the cyst and management of the residual pericyst cavity. Thirty four patients with thirty five hepatic hydatid disease were included in the study. The data for this work were collected between 9-2015 till 9 -2016. The mean age were 38.6+13.2 years. There were twenty female and fourteen males. The main presentation was upper abdominal mass, 25 (73.5%) were in the right lobe, 8 (23.5%) were in the left lobe and only one (3%) was bilaterally presented. Conservative surgery in the form of cystotomy (with or without omental packing), and external drainage were applied to 32 cysts (91.4%) while radical surgery were applied to three cysts (8.6%) in the form of pericystectomy and partial hepatectomy. LOS in the conservative group was 6.3+2.5 day while in the radical group was 13.3+8.3 day (P<0.001 HS). There were two cases of post operative bile leak in the omental pack group (22.2%) and only one case (33.3%) among the three cases of external drainage group, so in the conservative surgery there were three cases (9.3%) and they resolved spontaneously. There were two redo one in the cystotomy patients, the other in the pericystectomy patients. Conclusion: Conservative surgery could be done with success in hepatic hydatid disease and resection procedures are too radical and extensive for benign lesions.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Conservative Hepatic Hydatid Cyst Surgery
    AU  - Mohamed Salah Abdelhamid
    AU  - Tamer Mohamed Nabil
    AU  - Hesham Ahmed Nafady
    AU  - Amr Mohamed Ali
    AU  - Ahmed Mohamed Rashad
    AU  - Seham Anwar Emam
    AU  - Ibrahim Said Abdelaziz
    AU  - Tamer Elgaabary
    Y1  - 2017/04/12
    PY  - 2017
    N1  - https://doi.org/10.11648/j.js.20170502.14
    DO  - 10.11648/j.js.20170502.14
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 28
    EP  - 32
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20170502.14
    AB  - The principal objectives to be achieved by surgical treatment are total removal of all parasitic elements, avoidance of spillage of contents of the cyst and management of the residual pericyst cavity. Thirty four patients with thirty five hepatic hydatid disease were included in the study. The data for this work were collected between 9-2015 till 9 -2016. The mean age were 38.6+13.2 years. There were twenty female and fourteen males. The main presentation was upper abdominal mass, 25 (73.5%) were in the right lobe, 8 (23.5%) were in the left lobe and only one (3%) was bilaterally presented. Conservative surgery in the form of cystotomy (with or without omental packing), and external drainage were applied to 32 cysts (91.4%) while radical surgery were applied to three cysts (8.6%) in the form of pericystectomy and partial hepatectomy. LOS in the conservative group was 6.3+2.5 day while in the radical group was 13.3+8.3 day (P<0.001 HS). There were two cases of post operative bile leak in the omental pack group (22.2%) and only one case (33.3%) among the three cases of external drainage group, so in the conservative surgery there were three cases (9.3%) and they resolved spontaneously. There were two redo one in the cystotomy patients, the other in the pericystectomy patients. Conclusion: Conservative surgery could be done with success in hepatic hydatid disease and resection procedures are too radical and extensive for benign lesions.
    VL  - 5
    IS  - 2
    ER  - 

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