Optimized Strategies for Managing Abdominal Hydatid Cysts and Their Complications

Area of Science:

• Medical Parasitology
• Hepatology
• Surgical Gastroenterology

Background:

• Hepatic hydatid cysts are a globally distributed zoonotic parasitic infection with endemic foci.
• Diagnosis and treatment of liver hydatid cysts remain complex, involving various medical and surgical modalities.
• This study investigates complications associated with different treatment approaches for hepatic hydatid cysts.

Purpose of the Study:

• To analyze the complications of various treatment procedures for hepatic hydatid cysts.
• To identify factors influencing complication rates and types.
• To evaluate the impact of complications on patient recovery and hospitalization duration.

Main Methods:

• Retrospective analysis of 76 patients treated for hepatic hydatid cysts at the County Clinical Emergency Hospital of Sibiu.
• Categorization of treatment procedures including open surgery and other methods.
• Statistical analysis to assess complication rates, correlations, and impact on hospitalization.

Main Results:

• Overall complication rate was 23.7% (18 out of 76 patients).
• Open surgery had the highest complication rate (61.1%).
• Biliary duct rupture was the most frequent complication (22.7% of cases); complications significantly prolonged hospitalization (p < 0.001).

Conclusions:

• The choice of surgical approach for hepatic hydatid cysts requires careful patient-specific tailoring.
• Minimizing complications is crucial for improving clinical outcomes and reducing hospital stays.
• Further research into optimizing treatment strategies for hepatic hydatid cysts is warranted.