Original Article
Copyright ©2010 Baishideng. All rights reserved.
World J Gastroenterol. Feb 28, 2010; 16(8): 953-959
Published online Feb 28, 2010. doi: 10.3748/wjg.v16.i8.953
Radical vs conservative surgery for hydatid liver cysts: Experience from single center
Sami Akbulut, Ayhan Senol, Arsenal Sezgin, Bahri Cakabay, Mehmet Dursun, Omer Satici
Sami Akbulut, Bahri Cakabay, Department of Surgery, Diyarbakir Education and Research Hospital, 21400 Diyarbakir, Turkey
Ayhan Senol, Department of Radiology, Diyarbakir Education and Research Hospital, 21400 Diyarbakir, Turkey
Arsenal Sezgin, Department of Pathology, Diyarbakir Education and Research Hospital, 21400 Diyarbakir, Turkey
Mehmet Dursun, Department of Gastroenterology, Veni Vidi Hospital, 21100 Diyarbakir, Turkey
Omer Satici, Department of Biostatistics, Dicle University, Faculty of Medicine, 21380 Diyarbakir, Turkey
Author contributions: Akbulut S and Cakabay B performed the surgical procedure; Akbulut S contributed writing the article and review of the literature, as well as undertaking a comprehensive literature search; Akbulut S and Sezgin A contributed design and manuscript preparation; Sezgin A provided the pathological information; Senol A provided the radiological information; Dursun M performed ERCP and contributed to design and manuscript preparation; Satici O provided the statistical information.
Correspondence to: Sami Akbulut, MD, Department of Surgery, Diyarbakir Education and Research Hospital, 21400 Diyarbakir, Turkey. akbulutsami@gmail.com
Telephone: +90-412-2285434 Fax: +90-412-2295912
Received: November 2, 2009
Revised: December 14, 2009
Accepted: December 21, 2009
Published online: February 28, 2010
Abstract

AIM: To compare the efficacy and safety of radical and conservative surgical interventions for liver hydatid disease.

METHODS: The study comprised 59 patients in two groups who had undergone radical and conservative surgical procedures for liver hydatid disease in our department between 2004 and 2009. Preoperative diagnostic tools, medical treatments, demographic and clinical characteristics, postoperative follow-up, and recurrence were compared in both groups.

RESULTS: This non-randomized retrospective study included 59 patients who had undergone liver hydatid disease surgery. The radical technique was used in 18 patients (mean age: 42.1 ± 13.5 years, seven male, 11 female), and the conservative technique was used in 41 patients (mean age: 43.5 ± 13.9 years, 17 male, 24 female). The follow-up period ranged from 3 to 58 mo. Although operative time was significantly shorter in the conservative group (P < 0.001), recurrence was significantly reduced in the radical group (P = 0.045). No statistically significant differences were found in terms of hospitalization duration, cyst count and size, location, postoperative complications, scolicidal solution usage, or follow-up duration between the two groups.

CONCLUSION: The more effective method for preventing postoperative recurrence is radical surgery. Endoscopic retrograde cholangiopancreatography for bile leakage in the early postoperative period may decrease the requirement for repeat surgery.

Keywords: Echinococcosis; Endoscopic retrograde cholangiopancreatography; Digestive system surgery