Operative treatment of hepatic hydatid cysts: A single center experience

Abstract

Summary: 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. Keywords: Echinococcus, Hydated cyst, Liver surgery, Morbidity, Mortality