Mosaddeghi KS, Heris HK, Bayat A, Mosaddeghi KZ

Language: English
References: 38
Page: 378-383
PDF size: 176.32 Kb.

ABSTRACT

Introduction. Hydatid disease is a major health problem in some parts of the world. There are several nonoperative and operative ways to treat hydatic disease. The aim of this retrospective study is to assess the rate of postoperative complications, mortality rate, hospitalization period, and recurrence for capsulorrhaphy method, and to compare it with other hydatic cyst management techniques. Material and methods. An open surgical procedure using capsulorrhaphy technique was performed on 250 patients (130 men and 120 women) with uncomplicated hydatic cysts in the Northwest of Iran, between 1989 and 2011. Results. The patients stayed in the hospital between 4 and 10 days, with an average of 5 days. Of the patients, 233 (93.2%) were discharged without any complications, 9 (3.6%) developed a wound infection in the abdominal wall, and 7 (2.8%) developed pulmonary atelectasis. Those who developed an infection or an atelectasis stayed in the hospital for few more days for conservative treatments. One of the patients (0.4%) had external biliary fistula and bile leak, which was treated with surgery and Roux-en-Y cystojejunostomy. During follow-ups (13.2 ± 8.5 months), incisional hernias occurred in 5 (2%) patients and hydatid cyst recurrence affected 7 (2.8) patients. The mortality rate was zero amongst the studied patients. Conclusion. Compared to other techniques in the literature, the results presented in the current work indicate that capsulor-rhaphy is an efficient method in terms of decreased postoperative complications, recurrence, and hospitalization period, and is a safe method with low morbidity and zero mortality rates.

REFERENCES

1. Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis 2009; 13: 125-33.

2. Polat P, Kantarci M, Alper F, Suma S, Koruyucu MB, Okur A. Hydatid disease from head to toe. Radiographics 2003; 23: 475-494; quiz 477-536.

3. Filice C. Minimal Invasive Treatment for Hydatid Abdominal Cysts: PAIR (Puncture, Aspiration, Injection, Reaspiration) - State of the Art. Schistosomiasis and Intestinal Parasites Unit, Division of Control of Tropical Diseases, World Health Organization, 1997.

4. Reza Mousavi S, Khoshnevis J, Kharazm P. Surgical treatment of hydatid cyst of the liver: drainage versus omentoplasty. Ann Hepatol 2005; 4: 272-4.

5. Djuricic SM, Grebeldinger S, Kafka DI, Djan I, Vukadin M, Vasiljevic ZV. Cystic echinococcosis in children - the seventeen- year experience of two large medical centers in Serbia. Parasitology international 2010; 59: 257-61.

6. Ammann RW, Eckert J. Cestodes. Echinococcus. Gastroenterol Clin North Am 1996; 25: 655-89.

7. Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ 1996; 74: 231-42.

8. Langer B. Surgical treatment of hydatid disease of the liver. Br J Surg 1987; 74: 237-8.

9. Shambesh MA, Craig PS, Macpherson CN, Rogan MT, Gusbi AM, Echtuish EF. An extensive ultrasound and serologic study to investigate the prevalence of human cystic echinococcosis in northern Libya. Am J Trop Med Hyg 1999; 60: 462-8.

10. Cohen H, Paolillo E, Bonifacino R, Botta B, Parada L, Cabrera P, Snowden K, et al. Human cystic echinococcosis in a Uruguayan community: a sonographic, serologic, and epidemiologic study. Am J Trop Med Hyg 1998; 59: 620-7.

11. Gharbi HA, Hassine W, Brauner MW, Dupuch K. Ultrasound examination of the hydatic liver. Radiology 1981; 139: 459-63.

12. Nunnari G, Pinzone MR, Gruttadauria S, Celesia BM, Madeddu G, Malaguarnera G, Pavone P, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol 2012; 18: 1448-58.

13. Biava MF, Dao A, Fortier B. Laboratory diagnosis of cystic hydatic disease. World J Surg 2001; 25: 10-4.

14. Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, Akdeniz A, et al. 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.

15. Gupta N, Javed A, Puri S, Jain S, Singh S, Agarwal AK. Hepatic hydatid: PAIR, drain or resect? J Gastrointest Surg 2011; 15: 1829-36.

16. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205-13.

17. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence? World J Surg 2004; 28: 731-6.

18. Shaw JM, Bornman PC, Krige JE. Hydatid disease of the liver. S Afr J Surg 2006; 44: 70-72, 74-77.

19. Dawson JL, Stamatakis JD, Stringer MD, Williams R. Surgical treatment of hepatic hydatid disease. Br J Surg 1988; 75: 946-50.

20. Agarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK. Bile leaks following surgery for hepatic hydatid disease. Indian J Gastroenterol 2005; 24: 55-8.

21. Barros JL. Hydatid disease of the liver. Am J Surg 1978; 135: 597-600.

22. Moreno González E, Rico Selas P, Martínez B, García García I, Palma Carazo F, Hidalgo Pascual M. Results of surgical treatment of hepatic hydatidosis: current therapeutic modifications. World J Surg 1991; 15: 254-63.

23. Magistrelli P, Masetti R, Coppola R, Messia A, Nuzzo G, Picciocchi A. Surgical treatment of hydatid disease of the liver. A 20-year experience. Arch Surg 1991; 126: 518-22; discussion 523.

24. Alper A, Ariogul O, Emre A, Uras A, Okten A. Choledochoduodenostomy for intrabiliary rupture of hydatid cysts of liver. Br J Surg 1987; 74: 243-5.

25. Avgerinos E, Pavlakis E, Stathoulopoulos A, Manoukas E, Skarpas G, Tsatsoulis P. Clinical presentations and surgical management of liver hydatidosis: our 20 year experience. HPB 2006; 8: 189-93.

26. Busuioc S, Danila N, Roata C, Motas O, Mihalache S, Dragomir C. Risk factors and surgical solutions of complicated liver hydatid cysts. Jurnalul de Chirurgie 2011; 7.

27. Zaouche A, Haouet K, Jouini M, El Hachaichi A, Dziri C. Management of liver hydatid cysts with a large biliocystic fistula: multicenter retrospective study. Tunisian Surgical Association. World J Surg 2001; 25: 28-39.

28. Cirenei A, Bertoldi I. Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg 2001; 25: 87-92.

29. Balik AA, Basoglu 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.

30. Karavias DD, Tsamandas AC, Payatakes AH, Solomou E, Salakou S, Felekouras ES, Tepetes KN. Simple (non-parasitic) liver cysts: clinical presentation and outcome. Hepatogastroenterology 2000; 47: 1439-43.

31. Erdem E, Nessar M, Sungurtekin U, Ozden A, Tetik C. The management of hepatic hydatid cysts: review of 94 cases. J Hepatobiliary Pancreat Surg 1998; 5: 179-83.

32. Skroubis G, Vagianos C, Polydorou A, Tzoracoleftherakis E, Androulakis J. Significance of bile leaks complicating conservative surgery for liver hydatidosis. World J Surg 2002; 26: 704-8.

33. Vagianos CE, Karavias DD, Kakkos SK, Vagenas CA, Androulakis JA. Conservative surgery in the treatment of hepatic hydatidosis. Eur J Surg 1995; 161: 415-20.

34. Alfieri S, Doglietto GB, Pacelli F, Costamagna G, Carriero C, Mutignani M, Liberatori M, et al. Radical surgery for liver hydatid disease: a study of 89 consecutive patients. Hepatogastroenterology 1997; 44: 496-500.

35. Dziri C, Paquet JC, Hay JM, Fingerhut A, Msika S, Zeitoun G, Sastre B, et al. Omentoplasty in the prevention of deep abdominal complications after surgery for hydatid disease of the liver: a multicenter, prospective, randomized trial. French Associations for Surgical Research. J Am Coll Surg 1999; 188: 281-9.

36. Yorganci K, Sayek I. Surgical treatment of hydatid cysts of the liver in the era of percutaneous treatment. Am J Surg 2002; 184(1): 63-9.

37. Seven R, Berber E, Mercan S, Eminoglu L, Budak D. Laparoscopic treatment of hepatic hydatid cysts. Surgery 2000; 128(1): 36-40.

38. Alper A, Emre A, Hazar H, Ozden I, Bilge O, Acarli K, Ariogul O. Laparoscopic surgery of hepatic hydatid disease: initial results and early follow-up of 16 patients. World J Surg 1995; 19(5): 725-8; discussion 728.