[The surgical procedure in hepatic echinococcosis]

Area of Science:

• Hepatology
• Surgical Oncology
• Parasitology

Context:

• Liver echinococcosis, a parasitic infection caused by Echinococcus granulosus, presents significant clinical challenges.
• Surgical intervention is the primary treatment modality for symptomatic or complicated liver hydatid cysts.
• Evaluating the efficacy and safety of different surgical approaches is crucial for optimizing patient outcomes.

Purpose:

• To analyze the results of various surgical operations performed on 252 patients diagnosed with liver echinococcosis.
• To compare the incidence of postoperative complications associated with different surgical techniques for liver echinococcosis.
• To identify the surgical method associated with the lowest complication rate in the management of liver echinococcosis.

Summary:

• A retrospective analysis of 252 patients with liver echinococcosis details outcomes for closed hydatidectomy (65.87%), semi-closed hydatidectomy (5.56%), pericystectomy (6.35%), ideal hydatidectomy (4.76%), liver resection (3.5%), and percutaneous drainage (2.78%).
• Overall, 25 patients experienced postoperative complications, including residual cavity suppuration (17), external bile fistulas (5), subdiaphragmatic abscess (2), and reactive pleurisy (1).
• Closed hydatidectomy demonstrated the lowest complication rate, with only 4 patients (2.44%) experiencing adverse events.

Impact:

• This study highlights closed hydatidectomy as a potentially safer surgical option for liver echinococcosis, associated with a lower risk of postoperative complications.
• Findings provide valuable data for surgeons selecting operative strategies for liver echinococcosis, aiming to minimize morbidity.
• The comparative analysis of surgical techniques contributes to evidence-based guidelines for managing this parasitic liver disease.