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19-Year Retrospective Analysis of 146 Surgically Managed Hepatic Hydatid Cysts: Complications Across Four

Sabrina Mancino1, Samuel Michelini1, Naomi Mancino2

  • 1Faculty of Medicine, "George Emil Palade" University of Medicine, Pharmacy, Science and Technology of Targu Mures, Targu Mures, ROU.

Cureus
|February 13, 2026
PubMed

Insights

Surgical treatment for liver hydatid cysts varies in outcomes. Minimally invasive procedures offer shorter stays and fewer complications in selected patients, while open surgery has higher morbidity.

Area of Science:

  • Hepatobiliary Surgery
  • Parasitic Infections
  • Surgical Outcomes Research

Background:

  • Cystic echinococcosis is endemic, frequently affecting the liver.
  • Hepatic hydatid cysts often necessitate surgical intervention due to size, symptoms, or complications.

Purpose of the Study:

  • To evaluate surgical outcomes and complications of different hepatic hydatid cyst treatments.
  • To compare various surgical approaches over a 19-year period.

Main Methods:

  • Retrospective observational study of 146 patients (2004-2023).
  • Classification into four surgical groups: open conservative, minimally invasive (PAIR/PAIR-D), radical/complex, and ultrasound-guided drainage.
  • Analysis of demographic, operative, and postoperative data.

Main Results:

  • Open conservative surgery (Mabit-Lagrot) was most common (45.9%).
  • Overall complication rate was 25.3%, with recurrent abscessed cysts being most frequent.
  • Minimally invasive procedures showed shorter hospital stays and lower complication rates in selected cases.

Conclusions:

  • Surgical outcomes for hepatic hydatid cysts depend on invasiveness.
  • Open surgery is effective but linked to higher morbidity; minimally invasive options are viable alternatives for select patients.
  • Postoperative bilirubin and amylase levels indicate invasiveness, not necessarily complications.
Abstract

Keywords:
biochemical markershepatic hydatid cystliver surgerypair procedurepostoperative complicationssurgical management

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