Clinical and Surgical Profile and Follow Up of
Patients With Liver Hydatid Cyst from an Endemic Region
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Ahmet Tekin, Tevfik Kücükkartallar, Adil Kartal, Adnan Kaynak,
Sükrü Özer, Sakir Tavli, Metin Belviranli, Mustafa Sahin, Serdar
Yol, Faruk Aksoy, Sakir Tekin, Celalettin Vatansev, Mehmet Erikoglu
Department of General Surgery Meram Medical Faculty, University
of Selcuk, Akyokus, Konya,Turkey
Aim: The aim of this study is to present the
changes in the treatment of liver hydatid cyst during the last
20 years in our clinic according to literature data.
Material and methods: Clinical, laboratory and
operational findings and pre- and postoperative complications
of 650 from 700 patients with liver hydatid cysts, examined and
treated at Selcuk University Meram Medicine Faculty, General Surgery
Department, between 1985-2005, were evaluated in two groups: 1st
period (1985-1995) and 2nd period (1995-2005).
Results: 436 of the cases were females (67.1%)
and 214 (32.9%) males. The mean age of the females was 35 years
(ranges 10-73) and of the males 46 years (ranges 12-76). Surgical
treatment comprised radical and obliterative conservative techniques
in the first period, while non-obliterative conservative techniques
and percutaneous puncture and aspiration of the cyst, injection
of scolex eliminating substance and reaspiration (PAIR) were preferred
in the second period. During the follow-up (498 cases were followed
for a mean period of 32 [12-72] months), recurrence occurred in
12 in the first period and in 9 in the second period, a total
of 21 patients (4.21%).
Conclusion: We consider that regardless of the
surgical treatment used in liver hydatid cyst cases, combination
with chemotherapy is the safest and most effective approach.
Echinococcus granulosus - liver hydatid cyst - surgical treatment.