Liver hydatidosis - surgical treatment

Hydatid disease is a concealed parasite illness that spreads over all organs and tissues. It is a difficult and widespread invasive illness which occupies a special place in pathology of hepato-billious tract.

This study includes analysis of 103 patients operated from liver hydatidosis during a 15 year period.

Ratio between female and male patients was 2:1, with a female predominance. The patient's age ranged from 19 to 65 years old, i.e. they were still capable of working, with an average age of 47 years. The patient's were mostly housewives, farmers and cattle breeders (71 or 68.9%). The most frequent method we used was pericystectomy with omentoplastics applied in (51 or 49.5%) cases, then pericystectomy with drainage applied in (31 or 30.1%) cases, followed by extirpation of the cyst applied in (11 or 10.7%) cases, liver resection was performed in only (7 or 6.8%) cases, marsupielisation was performed in (3 or 2.9%) cases, but out of necessity. The most frequently used approaches were the right subcostal ones, medial and Orh's cut - (95 or 92.2%) cases. Postoperative complications occurred in (39 or 37.9%) cases. Lethal result occurred in (2 or 1.9%) cases.

Our opinion is that a total cystopericystectomy with omentoplastics, which is a method of choice, decreases hospitalization period and complications.