Complex hydatid cysts of the liver: A single center's evolving approach to surgical treatment

Ivan Botrugno, Salvatore Gruttadauria, Sergio Li Petri, Davide Cintorino, Marco Spada, Fabrizio Di Francesco, Dullio Pagano, Francesca Crino, Domenico Anastasi, Bruno Gridelli

Research output: Contribution to journalArticlepeer-review

Abstract

In our study, we arbitrarily define complex hydatid cysts of the liver as either cysts with a diameter ≥ 10 cm, or as multiple and recurrent cysts. These types of cysts were then divided into two subgroups: giant cyst identified as a cyst with a diameter ≥ 10 cm, and complicated cyst as multiple, recurrent, abscessed cysts, or those resistant to conservative treatment. The aim of this study was to retrospectively analyze a series of 38 consecutive patients who underwent surgery for complex hydatid cysts over a period of 9 years at the same institute to determine the evolution of the surgical treatment and the risk factors for recurrence. Fourteen (36.8%) of these patients were women and 24 (63.2%) men (median age 48.1; range 16-71 years). The mean postoperative followup was 24 ∓ 10.8 months. All patients were treated prophylactically with albendazole (10 mg/Kg/ day) for 15 days preoperatively and for 2 months postoperatively. Partial cystectomy was performed in two cases (5.26%) and radical pericystectomy in 20 cases (52.63%). In 15 cases the patients underwent liver resection (39.47%): left hepatectomy was performed in eight cases (21.05%), and right hepatectomy in seven cases (18.42%). In one case, both wedge resection and pericystectomy were performed. There were no deaths and only one patient (2.63%) showed signs of recurrence at follow-up. Radical surgery is the most effective treatment for complex hydatid cysts. In our experience, partial or total pericystectomy virtually eliminated, over time, the need for hepatic resection.

Original languageEnglish
Pages (from-to)1011-1015
Number of pages5
JournalAmerican Surgeon
Volume76
Issue number9
Publication statusPublished - Sep 2010

ASJC Scopus subject areas

  • Surgery

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