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Surgery Today

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01-11-2014 | Original Article

Surgical treatment of giant liver hydatid cysts: comparison of cystojejunostomy and partial cystectomy

Authors: Fahrettin Acar, Mustafa Sahin, Hüsnü Alptekin, Hüseyin Yılmaz, M. Ertuğrul Kafalı

Published in: Surgery Today | Issue 11/2014

Abstract

Purpose

The aim of this study was to compare partial cystectomy and internal drainage of the cyst cavity with cystojejunostomy for the surgical treatment of giant hepatic hydatid cysts.

Methods

Patients who underwent any type of surgical treatment between March 2009 and May 2013 for giant hepatic hydatid cysts were retrospectively evaluated. The data collected included demographic variables, diagnostic methods, surgical procedures, morbidity and mortality rates.

Results

Twenty-eight patients who underwent surgery for giant hepatic hydatid cysts were included. There were 16 (57 %) female patients, with a mean age of 32.8 years. The diagnostic methods primarily included abdominal ultrasonography and computed tomography, which were performed in 62 % of the patients. The patients were divided into two groups with respect to the treatment modality: Group A (n = 13) treated with cystojejunostomy and Group B (n = 15) treated with partial cystectomy. The overall rate of cavity-related complications was 25 % in Group B, whereas none of the patients in Group A had a cavity-related complication during the follow-up period (p < 0.05).

Conclusion

Cystojejunostomy is an effective and safe surgical approach for the treatment of giant hepatic hydatid cysts, with a lower rate of morbidity than partial cystectomy, and thus may be the surgical treatment of choice for giant hepatic hydatid cysts.

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Title: Surgical treatment of giant liver hydatid cysts: comparison of cystojejunostomy and partial cystectomy
Authors: Fahrettin Acar
Mustafa Sahin
Hüsnü Alptekin
Hüseyin Yılmaz
M. Ertuğrul Kafalı
Publication date: 01-11-2014
Publisher: Springer Japan
Published in: Surgery Today / Issue 11/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-0887-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Surgical treatment of giant liver hydatid cysts: comparison of cystojejunostomy and partial cystectomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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