Liver hydatidosis: reasoned indicationsof surgical treatment. Comparison betweenconservative and radical techniquesRetrospective study

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Abstract

Liver hydatidosis is a focal benign parasitic disease that still cause high rate of morbidity particularly in the Mediterraneanarea. A retrospective study comparing conservative and radical techniques in a General and Urgent Surgery operativeunit was carried out in order to find signs of its surgical treatment.A total of 50 patients, 24 men and 26 women, who experienced a surgical treatment from 2000 to 2011, participated,and through the Fisher’s Exact Test characteristics of the cysts, post-operative complications and relapse were compared.As a result, 29 patients undertook conservative surgery, while 21 radical surgery.There was a relationship between characteristics of the cysts and the technique chosen, (p<0.001). Likewise, wheneverthe diameter was smaller than 10cm or localized in the left lobe a radical technique was used. Conversely, a conservativetechnique was used when the diameter was bigger than 10 cm or they were localized in the right lobe or complicatedby intra-biliary or intra-peritoneal rupture as well as in contiguity with major vascular and biliary structures.In this regard, while the post-operative morbidity was related to the conservative techniques (p<0.004), the relapses tendedto not be related to any techniques in our case (p<0.14).In conclusion, in a non hepato-bilio-pancreatic center a radical surgery including liver resection is suggested for left lobe’scysts, while a conservative technique tends to be more effective for right lobe’s cysts mainly if complex. Consequently,patients with complicated presentation could explain why conservative treatment causes higher rate of morbidity.
Original languageEnglish
Pages (from-to)422-430
Number of pages9
JournalANNALI ITALIANI DI CHIRURGIA
Volume85
Publication statusPublished - 2014

All Science Journal Classification (ASJC) codes

  • Surgery

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