Radical versus conservative surgical treatment of liver hydatid cysts: A paired comparison analysis

The management of liver hydatid cysts (LHC) is complex and includes surgery, percutaneous drainage, chemotherapy and observation. Broadly, there are two types of surgical treatment for LHC - conservative surgery (CS) and radical surgery (RS). The purpose of this study was to compare the outcome of R...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2022-07, Vol.224 (1), p.190-195
Main Authors: Farhat, Waad, Ammar, Houssem, Rguez, Arib, Harrabi, Fathia, Said, Mohamed Amine, Ghabry, Linda, Gupta, Rahul, Ben cheikh, Asma, Ghali, Hela, Ben Rajeb, Mohamed, Ben Mabrouk, Mohamed, Ben Ali, Ali
Format: Article
Language:English
Subjects:
Abdomen
Bile
Chemotherapy
Complications
Cysts
Dissection
Hospitals
Liver
Liver hydatid cyst
Liver resection /surgery/ hepatic echinococcosis
Medical records
Morbidity
Mortality
Patients
Postoperative
Surgery
Sutures
Ultrasonic imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The management of liver hydatid cysts (LHC) is complex and includes surgery, percutaneous drainage, chemotherapy and observation. Broadly, there are two types of surgical treatment for LHC - conservative surgery (CS) and radical surgery (RS). The purpose of this study was to compare the outcome of RS and CS. Data from all patients with LHC treated in Sahloul Hospital, between January 2000 and December 2019, were retrieved. To minimize selection bias, paired comparison analysis (PCA) was performed. A total of 914 patients were included in this study. RS and CS were performed in 284 and 630 patients, respectively. After PCA, 206 patients were included in each group. The incidence of intraoperative bleeding was significantly higher in the RS group. The overall morbidity was significantly lower in the RS group. Thity-four patients developed recurrence with significantly higher recurrence in CS group. RS is associated with fewer postoperative complications and lower recurrence rate compared to CS. RS may be the preferred procedure for LHC if the expertise is available. •The management of liver hydatid cysts (LHC) is controversial.•The purpose of this study was to compare the outcome of radical surgery (RS) and conservative surgery (CS).•RS is associated with fewer postoperative complications and lower recurrence rate compared to CS.•Most surgeons in endemic countries are using CS because it is easy, and the lack of studies showing the benefit of the RS.•RS may be the preferred procedure for LHC if the expertise is available.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2021.12.014