I D Ozacmak1, F Ekiz, V Ozmen, A Isik. 1. Department of General Surgery of Taksim Teaching Hospital, Istanbul University, Turkey.
Abstract
OBJECTIVE: To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts. DESIGN: Prospective study. SETTING: University and teaching hospital, Turkey. SUBJECTS: 108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995. INTERVENTION: Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size. MAIN OUTCOME MEASURES: Morbidity, mortality, and hospital stay. RESULTS: The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty. CONCLUSION: Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.
OBJECTIVE: To investigate the role of two approaches to the operative treatment of hepatic hydatid cysts. DESIGN: Prospective study. SETTING: University and teaching hospital, Turkey. SUBJECTS: 108 patients with single uncomplicated hydatid cysts who were operated on in two clinics between 1990 and 1995. INTERVENTION: Introflexion and omentoplasty or external drainage after partial cystectomy in single uncomplicated hydatid cysts more than 5 cm in size. MAIN OUTCOME MEASURES: Morbidity, mortality, and hospital stay. RESULTS: The median hospital stay after introflexion and omentoplasty was 8 days (range 3-15), which was significantly shorter than that after external drainage (12 days, range 7-20). There were 2/35 postoperative complications in the former group compared with 17/73 in the drainage group (p = 0.03). There was one death after introflexion and omentoplasty. CONCLUSION: Introflexion and omentoplasty after partial cystectomy for a single uncomplicated hydatid cyst caused significantly fewer complications than external drainage, and patients left hospital sooner.
Authors: George Skroubis; Constantine Vagianos; Andreas Polydorou; Evangelos Tzoracoleftherakis; John Androulakis Journal: World J Surg Date: 2002-03-26 Impact factor: 3.352
Authors: Zafer Türkyilmaz; Kaan Sönmez; Ramazan Karabulut; Billur Demirogullari; Hakki Göl; A Can Basaklar; Nuri Kale Journal: World J Surg Date: 2004-06 Impact factor: 3.352