Gad Marom1, Tawfik Khoury2, Samir Abu Gazla3, Hadar Merhav4, Dan Padawer5, Ariel A Benson6, Gidon Zamir7, Lisandro Luques8, Rifaat Safadi9, Abed Khalaileh10. 1. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein Kerem, Israel. Electronic address: gadim@hadassah.org.il. 2. Department of Gastroenterology and Liver Diseases, Hadassah Medical Center, Jerusalem, Israel. Electronic address: tawfik.khoury.83@gmail.com. 3. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein Kerem, Israel. Electronic address: samirab@hadassah.org.il. 4. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein Kerem, Israel. Electronic address: hadarmerhav@hadassah.org.il. 5. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein Kerem, Israel. Electronic address: dan.padawer@gmail.com. 6. Department of Gastroenterology and Liver Diseases, Hadassah Medical Center, Jerusalem, Israel. Electronic address: abenson@hadassah.org.il. 7. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein Kerem, Israel. Electronic address: rgideonz@hadassah.org.il. 8. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein Kerem, Israel. Electronic address: luques@hadassah.org.il. 9. Department of Gastroenterology and Liver Diseases, Hadassah Medical Center, Jerusalem, Israel. 10. Department of Surgery, Hadassah-Hebrew University Medical Center, Ein Kerem, Israel. Electronic address: hbedk@hadassah.org.il.
Abstract
BACKGROUND: Hydatid cyst is a zoonotic disease caused by Echinococcus genera. Surgery is needed in most cases. We aimed to describe our center's experience in the surgical management of hepatic hydated cysts (HHC). METHODS: Data was retrospectively collected for patients who underwent operative management for HHC between the years 1994-2014. RESULTS: Sixty-nine underwent surgical treatment for HHC. Group A included 34 treated with an unroofing procedure, group B included 24 patients who underwent hepatectomy and group C included 11 patients who underwent peri-cystectomy. The median ± (range) age for groups A, B and C were 39.5 (6.5-69), 40 (17-74) and 32 (20-62), respectively (P > 0.1). Post-operative complications occurred in 16, 11 and 5 patients in group A, B and C, respectively, as assessed by clavien-dindo classification (CDC). The average CDC was significantly higher in the hepatectomy group as compared to the unroofing group (2.3 vs.1.5, P = 0.04). Recurrence was significantly higher after the unroofing procedure as compared to the hepatectomy group (P = 0.05). CONCLUSION: Surgery remains the mainstay of treatment for HHC, once surgery is pursued, the results are satisfactory.
BACKGROUND: Hydatid cyst is a zoonotic disease caused by Echinococcus genera. Surgery is needed in most cases. We aimed to describe our center's experience in the surgical management of hepatic hydated cysts (HHC). METHODS: Data was retrospectively collected for patients who underwent operative management for HHC between the years 1994-2014. RESULTS: Sixty-nine underwent surgical treatment for HHC. Group A included 34 treated with an unroofing procedure, group B included 24 patients who underwent hepatectomy and group C included 11 patients who underwent peri-cystectomy. The median ± (range) age for groups A, B and C were 39.5 (6.5-69), 40 (17-74) and 32 (20-62), respectively (P > 0.1). Post-operative complications occurred in 16, 11 and 5 patients in group A, B and C, respectively, as assessed by clavien-dindo classification (CDC). The average CDC was significantly higher in the hepatectomy group as compared to the unroofing group (2.3 vs.1.5, P = 0.04). Recurrence was significantly higher after the unroofing procedure as compared to the hepatectomy group (P = 0.05). CONCLUSION: Surgery remains the mainstay of treatment for HHC, once surgery is pursued, the results are satisfactory.
Authors: Mohammad Al-Saeedi; Ali Ramouz; Elias Khajeh; Ahmad El Rafidi; Omid Ghamarnejad; Saeed Shafiei; Sadeq Ali-Hasan-Al-Saegh; Pascal Probst; Marija Stojkovic; Tim Frederik Weber; Katrin Hoffmann; Arianeb Mehrabi Journal: PLoS Negl Trop Dis Date: 2021-05-12