Related Experiment Videos
[Surgical treatment of hepatic hydatidosis]
1Département de chirurgie et d'anesthésiologie, Hôpital cantonal universitaire, Genève.
Insights
Hepatic hydatid disease surgery involved 41 patients over a decade. Surgical interventions included pericystectomies and liver resections, with acceptable postoperative morbidity.
Area of Science:
- Hepatobiliary Surgery
- Parasitic Diseases
- Surgical Outcomes
Context:
- Hepatic hydatid disease is a significant surgical challenge.
- This study analyzes surgical management over a 10-year period.
- It highlights the prevalence and clinical presentation of liver hydatid cysts.
Purpose:
- To review surgical outcomes for hepatic hydatid disease.
- To detail surgical techniques and complications.
- To assess postoperative morbidity and management strategies.
Summary:
- 41 patients underwent surgery for hepatic hydatid disease between 1981-1990.
- Common procedures included pericystectomies and liver resections.
- Postoperative morbidity was 25%, with complications like biliomas and pulmonary issues.
Impact:
- Provides insights into surgical management of hepatic hydatid disease.
- Contributes to understanding complications and outcomes.
- Informs surgical planning and patient care for this condition.
Abstract:
Between January 1981 and December 1990, 41 patients were operated on for hepatic hydatid disease, representing 18% of the overall surgery for liver disease performed in our institution during the same period of time. The mean age of the patients was 39.5 years (range 17-71 years), 24 were females and 17 males. The most common clinical sign was abdominal pain (59%) with 3 patients jaundiced at the time of admission. 2 patients suffered from acute rightsided pneumonia, one of them with a very important productive cough due to bronchial perforation of the hydatid cyst of the liver. One patient was admitted due to anaphylactic shock with collapse. For 14 patients (34%) the discovery of the disease was casual, either by clinical hepatomegaly or by X-ray investigations performed for other reasons. We performed 18 pericystectomies, 4 subtotal pericystectomies and 16 liver resections. Only 3 patients were treated by partial cystectomy with removal of the prominent part of the cyst. Several other surgical procedures were performed concomitantly, including 2 pulmonary lobectomies, 1 cystojejunostomy, and pericystectomies for other hepatic or extrahepatic localizations of hydatid cysts. Rupture of the cyst into the bile duct was diagnosed in 13 patients. One patient presented with a peritoneal rupture of the cyst and 2 patients had a fistula through the diaphragm into the pleural cavity. Our postoperative morbidity is acceptable (10 patients, 25%). A bilioma and a biliary leak were successfully treated by percutaneous drainage, a postoperative hemorrhage required surgical treatment, four patients experienced pulmonary complications and the three others minor wound abscesses.(ABSTRACT TRUNCATED AT 250 WORDS)