Hepatic hydatid disease: current surgical treatment
Golematis, B.C.; Peveretos, P.J.
Mount Sinai Journal of Medicine new York 62(1): 71-76
1995
ISSN/ISBN: 0027-2507 PMID: 7739590 Document Number: 453571
Based on experience of the surgical treatment of 256 patients in the University of Athens, during the period 1980-1990, the current practice of surgery for hepatic hydatid disease is reviewed. Cysts were multiple in 24.6%, calcified in 17.9%, and ruptured to adjacent viscera in 12.3% of cases. Reoperations for recurrent hydatid disease were necessary in 6.4% of cases. Pericystectomy was the operation of choice, but when not possible subtotal pericystectomy in which only a small piece of cyst wall is preserved, was a successful alternative. For complicated cysts, external drainage was necessary in spite of the known morbidity this procedure entails. In patients undergoing external drainage, infection of the residual cavity and postoperative biliary fistula were the main causes of morbidity.