Join us   Log in   jmsr2014@yahoo.com  

JOURNAL OF MEDICAL AND SURGICAL RESEARCH - Vol. I, n 2 , December, 2014

Pages: 30-36
Print Article   Download XML  Download PDF

Radical Surgery for Liver Hydatid Cyst

Author: Hadj Omar El Malki, Amine Souadka, Badr Serji, Amine Benkabbou, Raouf Mohsine, Lahsen Ifrine, Abdelkader Belkouchi

Category: JMSR Surgery

Abstract:

Background and aims: Surgery is the basic treatment for liver hydatid cyst (LHC). Radical procedures (pericystectomy (PK) and hepatic resection (HR)) offers better results in selected cases cases than conservative approaches. Aims of this study were to evaluate the results of Radical surgery for LHC and and to determine witch of these two procedures is safe in experienced hepato-biliary surgical unit in endemic countries. Methods: A retrospective cohort study of 143 patients with liver hydatid cyst who underwent radical procedures at a single surgical department in an endemic country were reviewed. Mortality, morbidity and recurrence rates have been analyzed. Results: Thirty-two patients (22.4%) had a HR and 111 patients (77.6%) had a PK. Mortality rate was 1.4% (n=2) in HR group. Overall morbidity rate was 18.9% and vs 28.1% respectively in PK and HR group (p=.26). Postoperative bleeding occurred in 1.8% in PK group vs 3.1% in HR group (p=.535) and specific LHC operative complication occurred in 17.1% in PK group vs 28.1% in HR group (p=.167). Recurrence rate of LHC was 6.3% in PK group vs 6.6% in HR group (p=.999) after a median follow up of 108 months (54-144) vs 89 months (44-135) respectively. Conclusion: Radical surgery for LHC is safe. Each of PK and HR had a specific indication. A good screening of patient's guarantied a good outcome.

Keywords: Liver, Hydatid Cyst, Morocco, Radical Surgery

DOI: 10.46327/msrjg.1.000000000000011

DOI URL: https://doi.org/10.46327/msrjg.1.000000000000011

References:

  1. H. O. El Malki, A. Souadka, A. Benkabbou, R. Mohsine, L. Ifrine, R. Abouqal, A. Belkouchi. Radical versus conservative surgical treatment of liver hydatid cysts. Br J Surg 2014; 101 ( 6): 669- 675
  2. Chautems R, Bühler LH, Gold B, Giostra E, Poletti P, Chilcott M, Morel P, Mentha G. Surgical management and long-term outcome of complicated liver hydatid cysts caused by Echinococcus granulosus. Surgery 2005; 137: 312-6.
  3. Kapan M, Kapan S, Goksoy E, Perek S, Kol E. Postoperative recurrence in hepatic hydatid disease. J Gastrointest Surg 2006; 10: 734-9.
  4. Majbar MA, Souadka A, Sabbah F, Raiss M, Hrora A, Ahallat M. Peritoneal echinococcosis: anatomoclinical features and surgical treatment. World J Surg. 2012 May;36(5):1030-5.
  5. Daradkeh S, El-Muhtaseb H, Farah G, Sroujieh AS, Abu-Khalaf M. Predictors of morbidity and mortality in the surgical management of hydatid cyst of the liver. Langenbecks Arch Surg 2007; 392: 35- 9.
  6. El Malki HO, El Mejdoubi Y, Souadka Am, Mohsine R, Ifrine L, Abouqal R, Belkouchi A. Predictive Factors of Deep Abdominal Complications after Operation for Hydatid Cyst of the Liver: 15 Years of Experience with 672 Patients. J Am Coll Surg 2008; 206: 629-37. 7
  7. Gollackner B, Langle F, Auer H, Maier A, Mittlbock M, Agstner I, Karner J, Langer F, Aspock H, Loidolt H, Rockenschaub S, Steininger R. Radical surgical therapy of abdominal cystic hydatid disease: factors of recurrence. World J Surg 2000; 24: 717-21.
  8. Agaoglu N, Turkyilmaz S, Arslan MK. Surgical treatment of hydatid cysts of the liver. Br J Surg 2003; 90:1536-41. 9
  9. Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G. Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg 1994; 18: 859-65.
  10. Akgun Y, Yilmaz G. Efficiency of obliteration procedures in the surgical treatment of hydatid cyst of the liver. ANZ J Surg 2004; 74: 968-73.
  11. Atmatzidis KS, Pavlidis TE, Papaziogas BT, Mirelis C, Papaziogas TB. Recurrence and long-term outcome after open cystectomy with omentoplasty for hepatic hydatid disease in an endemic area. Acta Chir Belg 2005; 105: 198-202.
  12. El Malki HO, El Mejdoubi Y, Souadka A, Zakri B, Mohsine R, Ifrine L, Abouqal R, Belkouchi A. Does primary surgical management of liver hydatid cyst influence recurrence? J Gastrointest Surg. 2010; 14 (7): 1121-7.
  13. Yüksel O, Akyürek N, Sahin T, Salman B, Azili C, Bostanci H. Efficacy of radical surgery in preventing early local recurrence and cavity-related complications in hydatic liver disease. J Gastrointest Surg. 2008; 12 (3): 483-9.
  14. Dervenis C, Delis S, Avgerinos C, Madariaga J, Milicevic M. Changing concepts in the management of liver hydatid disease. J Gastrointest Surg. 2005 Jul-Aug;9(6): 869-77.
  15. Akbulut S, Senol A, Sezgin A, Cakabay B, Dursun M, Satici O. Radical vs conservative surgery for hydatid liver cysts: experience from single center. World J Gastroenterol 2010; 16: 953–959.
  16. Tagliacozzo S, Miccini M, Amore Bonapasta S, Gregori M, Tocchi A. Surgical treatment of hydatid disease of the liver: 25 years of experience. Am J Surg 2011; 201: 797–804.
  17. Sahin M, Kartal A, Haykir R, Cakir M. RF-assisted cystectomy and pericystectomy: a new technique in the treatment of liver hydatid disease. Eur Surg Res. 2006;38(2):90-3.
  18. Sayek I, Onat D. Diagnosis and treatment of uncomplicated hydatid cyst of the liver. World J Surg 2001; 25: 21-7.
  19. Chautems R, Buhler L, Gold B, Chilcott M, Morel P, Mentha G. Long term results after complete or incomplete surgical resection of liver hydatid disease. Swiss Med Wkly. 2003 May 3; 133(17-18): 258-62.
  20. Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, Akdeniz A, Cetiner S, Tufan T. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg 2005; 29: 1670-9.
  21. Yorganci K, Sayek I. Surgical treatment of hydatid cysts of the liver in the era of percutaneous treatment. Am J Surg 2002; 184: 63-9.
  22. Bülbüller N, Ilhan YS, Kirkil C, Yeniçerio?lu A, Ayten R, Cetinkaya Z. The results of surgical treatment for hepatic hydatid cysts in an endemic area. Turk J Gastroenterol 2006; 17: 273-278.
  23. Balik AA, Ba?oglu M, Celebi F, Oren D, Polat KY, Atamanalp SS, Akçay MN. Surgical treatment of hydatid disease of the liver: review of 304 cases. Arch Surg 1999; 134: 166-9.
  24. Kayaalp C, Sengul N, Akoglu M. Importance of cyst content in hydatid liver surgery. Arch Surg. 2002; 137 (2): 159-63.
  25. El Malki HO, El Mejdoubi Y, Souadka Am, Mohsine R, Ifrine L, Abouqal R, Belkouchi A. Predictive model of biliocystic communication in liver hydatid cysts using classification and regression tree analysis. BMC Surg. 2010 Apr 16; 10:16.
  26. Safioleas MC, Misiakos EP, Kouvaraki M, Stamatakos MK, Manti CP, Felekouras ES. Hydatid disease of the liver: a continuing surgical problem. Arch Surg 2006; 141: 1101-1108.