Conservative Hepatic Hydatid Cyst Surgery
Journal of Surgery
Volume 5, Issue 2, April 2017, Pages: 28-32
Received: Mar. 13, 2017;
Accepted: Mar. 23, 2017;
Published: Apr. 12, 2017
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Mohamed Salah Abdelhamid, Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt
Tamer Mohamed Nabil, Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt
Hesham Ahmed Nafady, Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt
Amr Mohamed Ali, Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt
Ahmed Mohamed Rashad, Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt
Seham Anwar Emam, Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt
Ibrahim Said Abdelaziz, Surgery Department, Bani- Suef Faculty of Medicine, Bani - Suef University, Bani Suef, Egypt
Tamer Elgaabary, Surgery Department, Fayum Faculty of Medicine, Fayum University, Fayum, Egypt
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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.
Hepatic, Hydatid, Cysts, Unilocularis, Multilocularis, Conservative Surgery, Radical Surgery
To cite this article
Mohamed Salah Abdelhamid,
Tamer Mohamed Nabil,
Hesham Ahmed Nafady,
Amr Mohamed Ali,
Ahmed Mohamed Rashad,
Seham Anwar Emam,
Ibrahim Said Abdelaziz,
Conservative Hepatic Hydatid Cyst Surgery, Journal of Surgery.
Vol. 5, No. 2,
2017, pp. 28-32.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Alper A. Ariogul O, Emre A, et al. (1987): Choledechoduodenostomy for intrabiliary rupture of hydatid cysts liver. Br J Surg; 74: 243-5.
Lucas SB (1994): Infectious diseases. In MacSween RNM, Anthony PP, Portman BC. Eds. Pathology of the liver, London: Churchill livingstone, 2nd ed; pp 292-294.
Danda MS, Guray M, Canda T, and Astarcioglu H. (2003): The pathology of echinococcosis and the current echinococcis problem in Western Turkey. Turk J Med Sci; 33: 369-374.
Kayaalp C, Bostanci B, Yol S and Akoglu M. (2003): Distribution of hydatid cysts into the liver with reference to cytobiliary communications and cavity related complications. Am J Surg; 185: 175-179.
Shirai Y, Wakai T, Ohtani T, et al. (1996): Colorectal carcinoma metastases to the liver, does primary tumor location affect its lobar distribution. Cancer; 77: 2213-6.
Nap M, Hammerstrom M, Bormero, et al. (1992): Spedificity and affinity of monoclonal antibodies against carcinoembryonic antigen. Cancer Res; 52: 23–29–31.
Dawson JL, Stamatakis JD, Stringer MD, and Williams R. (1988): Surgical treatment of hepatic hydatid disease. Br J Surg; 75: 946-50.
Wigmore SJ, Madhavan K, Redhead DN, et al. (2000): Distribution of Colateral liver metastases in patients referred for hepatic resection. Cancer; 89: 285-7.
Yilmaz E and Ozkok N. (1990): Hydatid disease of the liver: current surgical management. Br J Clin Pract; 44: 612-5.
Langer JC, Rose DB, Keystone JS, et al. (1984): Diagnosis and management of hydatid disease of the liver. Ann Surg; 199: 412–7.
Silva MA, Mirza DF, Bramhall SR, et al. (2004): Treatment of hydatid disease of the liver. Digestive Surgery; 21 (3): 227-34.
Wong LS, Braghirolli No, Xu Min, et al. (1999): Hydatid liver disease as a cause of pancreatitis. JR Coll Surg Edinb; 44: 407-9.
Fziri C, Paquet JC, Hay JM, et al. (1999): Omentoplasty in the prevention of deep abdominal complications after surgery for hydatid disease of the liver. J AM Coll Surg; 188: 281–9.
Perdamo R, Alvarez C, Monti J, et al. (1997): Principles of the surgical approach in human liver cystic echinococcosis. Acta Tropica; 64: 109-22.
Gahukamble DB, Khamage AS, Gahukamble LD (2000): Out come of minimal surgery for hydatid liver cyst. Ann Trop Ped; 20: 147-51.
Demirbag AE, Kayaalap C, Ozoguly, et al. (2000): Factors affecting biliary fistulae after hydatid surgery. Euro Surgery; 6: 20-24.
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.
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.
Julian E Losanoff, Bruce W Richman, James W Jones. (2004): Organ-sparing surgical treatment of giant hepatic hydatid cysts. AJS; 187 (2): 288-290.
Pavlidis ET, Symeonidis N, Psarras K, Pavlidis TE. (2017): Huge echinococcal cyst of the liver managed by hepatectomy: Report of two cases Int J Surg Case Rep; 10 (31): 79-82.
Yucel Y, Seker A, Eser I, Ozgonul A, Terzi A, Gozeneli O, Aydoga T, Uzunkoy A. (2015): Surgical treatment of hepatic hydatid cysts. A retrospective analysis of 425 patients. Annali Italiani di Chirurgia; 86: 437-443.