The principal objectives to be achieved by surgical treatment are total removal of all parasitic elements, avoidance of spillage of contents of the cyst and management of the residual pericyst cavity. Thirty four patients with thirty five hepatic hydatid disease were included in the study. The data for this work were collected between 9-2015 till 9 -2016. The mean age were 38.6+13.2 years. There were twenty female and fourteen males. The main presentation was upper abdominal mass, 25 (73.5%) were in the right lobe, 8 (23.5%) were in the left lobe and only one (3%) was bilaterally presented. Conservative surgery in the form of cystotomy (with or without omental packing), and external drainage were applied to 32 cysts (91.4%) while radical surgery were applied to three cysts (8.6%) in the form of pericystectomy and partial hepatectomy. LOS in the conservative group was 6.3+2.5 day while in the radical group was 13.3+8.3 day (P<0.001 HS). There were two cases of post operative bile leak in the omental pack group (22.2%) and only one case (33.3%) among the three cases of external drainage group, so in the conservative surgery there were three cases (9.3%) and they resolved spontaneously. There were two redo one in the cystotomy patients, the other in the pericystectomy patients. Conclusion: Conservative surgery could be done with success in hepatic hydatid disease and resection procedures are too radical and extensive for benign lesions.
| Published in | Journal of Surgery (Volume 5, Issue 2) |
| DOI | 10.11648/j.js.20170502.14 |
| Page(s) | 28-32 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Hepatic, Hydatid, Cysts, Unilocularis, Multilocularis, Conservative Surgery, Radical Surgery
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APA Style
Mohamed Salah Abdelhamid, Tamer Mohamed Nabil, Hesham Ahmed Nafady, Amr Mohamed Ali, Ahmed Mohamed Rashad, et al. (2017). Conservative Hepatic Hydatid Cyst Surgery. Journal of Surgery, 5(2), 28-32. https://doi.org/10.11648/j.js.20170502.14
ACS Style
Mohamed Salah Abdelhamid; Tamer Mohamed Nabil; Hesham Ahmed Nafady; Amr Mohamed Ali; Ahmed Mohamed Rashad, et al. Conservative Hepatic Hydatid Cyst Surgery. J. Surg. 2017, 5(2), 28-32. doi: 10.11648/j.js.20170502.14
AMA Style
Mohamed Salah Abdelhamid, Tamer Mohamed Nabil, Hesham Ahmed Nafady, Amr Mohamed Ali, Ahmed Mohamed Rashad, et al. Conservative Hepatic Hydatid Cyst Surgery. J Surg. 2017;5(2):28-32. doi: 10.11648/j.js.20170502.14
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Download@article{10.11648/j.js.20170502.14,
author = {Mohamed Salah Abdelhamid and Tamer Mohamed Nabil and Hesham Ahmed Nafady and Amr Mohamed Ali and Ahmed Mohamed Rashad and Seham Anwar Emam and Ibrahim Said Abdelaziz and Tamer Elgaabary},
title = {Conservative Hepatic Hydatid Cyst Surgery},
journal = {Journal of Surgery},
volume = {5},
number = {2},
pages = {28-32},
doi = {10.11648/j.js.20170502.14},
url = {https://doi.org/10.11648/j.js.20170502.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170502.14},
abstract = {The principal objectives to be achieved by surgical treatment are total removal of all parasitic elements, avoidance of spillage of contents of the cyst and management of the residual pericyst cavity. Thirty four patients with thirty five hepatic hydatid disease were included in the study. The data for this work were collected between 9-2015 till 9 -2016. The mean age were 38.6+13.2 years. There were twenty female and fourteen males. The main presentation was upper abdominal mass, 25 (73.5%) were in the right lobe, 8 (23.5%) were in the left lobe and only one (3%) was bilaterally presented. Conservative surgery in the form of cystotomy (with or without omental packing), and external drainage were applied to 32 cysts (91.4%) while radical surgery were applied to three cysts (8.6%) in the form of pericystectomy and partial hepatectomy. LOS in the conservative group was 6.3+2.5 day while in the radical group was 13.3+8.3 day (P<0.001 HS). There were two cases of post operative bile leak in the omental pack group (22.2%) and only one case (33.3%) among the three cases of external drainage group, so in the conservative surgery there were three cases (9.3%) and they resolved spontaneously. There were two redo one in the cystotomy patients, the other in the pericystectomy patients. Conclusion: Conservative surgery could be done with success in hepatic hydatid disease and resection procedures are too radical and extensive for benign lesions.},
year = {2017}
}
TY - JOUR T1 - Conservative Hepatic Hydatid Cyst Surgery AU - Mohamed Salah Abdelhamid AU - Tamer Mohamed Nabil AU - Hesham Ahmed Nafady AU - Amr Mohamed Ali AU - Ahmed Mohamed Rashad AU - Seham Anwar Emam AU - Ibrahim Said Abdelaziz AU - Tamer Elgaabary Y1 - 2017/04/12 PY - 2017 N1 - https://doi.org/10.11648/j.js.20170502.14 DO - 10.11648/j.js.20170502.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 28 EP - 32 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20170502.14 AB - The principal objectives to be achieved by surgical treatment are total removal of all parasitic elements, avoidance of spillage of contents of the cyst and management of the residual pericyst cavity. Thirty four patients with thirty five hepatic hydatid disease were included in the study. The data for this work were collected between 9-2015 till 9 -2016. The mean age were 38.6+13.2 years. There were twenty female and fourteen males. The main presentation was upper abdominal mass, 25 (73.5%) were in the right lobe, 8 (23.5%) were in the left lobe and only one (3%) was bilaterally presented. Conservative surgery in the form of cystotomy (with or without omental packing), and external drainage were applied to 32 cysts (91.4%) while radical surgery were applied to three cysts (8.6%) in the form of pericystectomy and partial hepatectomy. LOS in the conservative group was 6.3+2.5 day while in the radical group was 13.3+8.3 day (P<0.001 HS). There were two cases of post operative bile leak in the omental pack group (22.2%) and only one case (33.3%) among the three cases of external drainage group, so in the conservative surgery there were three cases (9.3%) and they resolved spontaneously. There were two redo one in the cystotomy patients, the other in the pericystectomy patients. Conclusion: Conservative surgery could be done with success in hepatic hydatid disease and resection procedures are too radical and extensive for benign lesions. VL - 5 IS - 2 ER -
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