Predictive factors of morbidity after surgical treatment of hepatic hydatid cyst

Surgery remains the basic treatment of hepatic hydatid cyst (HHC). However, it is associated with significant morbidity. The aim of our study was to evaluate mortality and morbidity of surgery of the HHC and to highlight the risk factors. A retrospective study was conducted from January 1, 1996 to D...

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Bibliographic Details
Published in:The Pan African medical journal 2012, Vol.13 (29), p.29-29
Main Authors: Bedioui, Heikal, Bouslama, Khouloud, Maghrebi, Houcine, Farah, Jokho, Ayari, Hichem, Hsairi, Hamadi, Kacem, Montacer, Jouini, Mohamed, Bensafta, Zoubeir
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Animals
Child
Echinococcosis, Hepatic - mortality
Echinococcosis, Hepatic - pathology
Echinococcosis, Hepatic - surgery
Female
Humans
hydatid cyst
liver
Male
Middle Aged
Morbidity
mortality
Postoperative Complications - epidemiology
Postoperative Complications - mortality
Retrospective Studies
Risk Factors
surgery
Survival Rate
Treatment Outcome
Young Adult
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Summary:Surgery remains the basic treatment of hepatic hydatid cyst (HHC). However, it is associated with significant morbidity. The aim of our study was to evaluate mortality and morbidity of surgery of the HHC and to highlight the risk factors. A retrospective study was conducted from January 1, 1996 to December 31, 2006. 391 patients hospitalized for HHC and operated in the Department of General Surgery "A" of the Rabta Hospital in Tunis, Tunisia. The overall mortality rate was 0.7% while the overall morbidity rate was 20.4%. About 16.6% suffered from specific complications, while 3.8% suffered from non-specific complications. Predictors of morbidity in a univariate analysis included cysts larger than 9 cm, dome cysts, cysts with bilious contents, type II, III, IV or V on ultrasound classification, fissured cysts and intrabiliary rupture of hepatic hydatid cyst. The multivariate study consisted of independent predictors of disease at the site of the liver dome, the cysto-biliary fistula and intrabiliary rupture of hepatic hydatid cyst The hepatic hydatid cyst of the dome and the existence of preoperative complications in particular intrabiliary rupture of hepatic hydatid cyst are the main factors of morbidity. A better understanding of these factors allows the surgeon to choose the appropiate surgical technique that is associated with less morbidity.
ISSN:1937-8688
1937-8688
DOI:10.11604/pamj.2012.13.29.1710