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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 7/2010

01-07-2010 | Original Article

Does Primary Surgical Management of Liver Hydatid Cyst Influence Recurrence?

Authors: Hadj Omar El Malki, Yasser El Mejdoubi, Amine Souadka, Belkacem Zakri, Raouf Mohsine, Lahcen Ifrine, Redouane Abouqal, Abdelkader Belkouchi

Published in: Journal of Gastrointestinal Surgery | Issue 7/2010

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Abstract

Background and aims

Hydatid disease is still a major health problem in sheep-raising areas. Surgery remains the basic treatment for liver hydatid cyst (LHC). However, recurrences can occur after all therapies. Surgery for recurrence of LHC becomes technically more difficult with higher rate of morbidity and mortality. The aim of this study was to determine perfective factors associated to hepatic recurrence after LHC surgery and to propose and discuss postoperative follow-up schedules.

Methods

It is a retrospective cohort study of 672 patients with LHC treated at the surgery department “A” at Ibn Sina University Hospital, Rabat, Morocco, from January 1990 to December 2004. Recurrence rates have been analyzed by the Kaplan–Meier method for patients undergoing surgery.

Results

Fifty-six patients (8.5%) had LHC recurrence after surgery. There were 34 females (60.7%) and 22 males (39.3%). Median duration of recurrence's diagnosis was 24 months (interquartile range: 10–48 months). Recurrence's risk was 2.3% ± 0.6% at 1 year and 9.1% ± 1.3% at the 10th year. The history of LHC (hazard ratio, 2; 95% confidential interval, 1.13–3.59) and three cysts or more (hazard ratio, 3.8; 95% confidential interval, 2.07–6.98) was an independent risk factor for recurrence.

Conclusion

We think that the surgeon's practice and experience are the most important to success the surgical treatment. It prevents complications and recurrences.
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Metadata
Title
Does Primary Surgical Management of Liver Hydatid Cyst Influence Recurrence?
Authors
Hadj Omar El Malki
Yasser El Mejdoubi
Amine Souadka
Belkacem Zakri
Raouf Mohsine
Lahcen Ifrine
Redouane Abouqal
Abdelkader Belkouchi
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 7/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-010-1220-0

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