Managements and Outcome of Complicated Liver Hydatid Cysts

Manouchehr Aghajanzadeh, Rasool Hassanzadeh, Siamak Rimaz, Hossein Hemmati, Mohammad Sadegh Esmaeili Delshad and Amid Mosaffaee Rad

Department of Thoracic Surgery, Guilan University of Medical Sciences, Iran
Department of Anestethiology, Guilan University of Medical Sciences, Iran
Department of Vascular Surgery, Guilan University of Medical Sciences, Iran
Department of General Surgery, Guilan University of Medical Sciences, Iran

^*Correspondance to: Mohammad Sadegh Esmaeili Delshad 

 PDF  Full Text DOI: 10.25107/2474-1647.1820

Abstract

Background: Hydatid Disease (HD) still remains an important health problem in developing countries. In this study we evaluated the clinical features, management and outcome of patients with complicated liver (HD).Methods: In a retrospective study, we reviewed the records of patients with liver (HD) operated in our department from January 2004 to January 2015. Number of cysts, location, signs and symptoms, operative procedures, postoperative complications, and hospital stay were collected.Results: A total of 352 patients were operated for liver (HD).73 (20%) of the Patients were complicated. 41 patients were male and 32 were women. The most common preoperative complications were intrabiliary rupture (33%) and suppuration (22%). The most common presentations were chest and abdominal pain (72.5%) and fever (56%). Surgical procedures were unroofing and drainage in (22%), peri cystectomy, drainage, choledochotomy, choledochoduodenostomy, tube placement and sphincterplasty in (46.5%) of patients with in intrabiliary rupture were. In interapleural rupture were Thoracotomy, pherenotomy, liver cystotomy, drainage (7%) and pulmonary parenchymal rupture were Thoracotomy, decortication, liver cystotomy and drainage (5.5%). Intraperitoneal rupture cases underwent laparotomy, evacuation, irrigation and drainage (5.5%). One patient (1.36%) died. postoperative morbidity rate was 55%.Conclusion: Complicated liver hydatid cysts show different manifestations and surgical management is difficult. Although postoperative complications are high, they can be managed successfully with favorable results.

Keywords

Hydatid disease; Complications; Surgery; Pherenotomy

Cite the article

Aghajanzadeh M, Hassanzadeh R, Rimaz S, Hemmati H, Delshad MSE, Rad AM. Managements and Outcome of Complicated Liver Hydatid Cysts. Clin Surg. 2017; 2: 1820.