Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery

Bile leakage is a common complication following liver surgeries, particularly in the cases of liver hydatid cyst operations. Currently, there is no adequate method which could be utilized to prevent this complication effectively. Our study aimed to assess the efficacy of the biliary lipid test (BLT...

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Main Authors: Mehmet Zafer Sabuncuoglu, Isa Sozen, Ismail Zihni, Girayhan Celik, Ayfer Sen Acar, Fatmanur Dal, Demet Gunduz
Format: Article
Language:English
Published: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina 2024-04-01
Series:Biomolecules & Biomedicine
Subjects:
Online Access:https://bjbms.org/ojs/index.php/bjbms/article/view/10371
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author Mehmet Zafer Sabuncuoglu
Isa Sozen
Ismail Zihni
Girayhan Celik
Ayfer Sen Acar
Fatmanur Dal
Demet Gunduz
author_facet Mehmet Zafer Sabuncuoglu
Isa Sozen
Ismail Zihni
Girayhan Celik
Ayfer Sen Acar
Fatmanur Dal
Demet Gunduz
author_sort Mehmet Zafer Sabuncuoglu
collection DOAJ
description Bile leakage is a common complication following liver surgeries, particularly in the cases of liver hydatid cyst operations. Currently, there is no adequate method which could be utilized to prevent this complication effectively. Our study aimed to assess the efficacy of the biliary lipid test (BLT) in reducing biliary complications after hydatid cyst surgery. We retrospectively included patients who underwent open liver hydatid cyst surgery between January 2011 and January 2024. The study encompassed 122 patients, with 41 males and 81 females, ranging in age from 18 to 79 years. In the BLT group, a lipid solution was injected transcystically after cholecystectomy. The BLT was performed on 65 patients, while 57 patients did not undergo the test. Following the transcystic injection of the lipid solution, orifices at the site of lipid droplets that became visible were ligated with 5.0 prolene sutures. A total of 200 leak sites were sutured. Notably, none of the patients in the BLT group experienced postoperative bile leakage. Consequently, a shorter hospital stay was observed in this group. Transcystic injection of the lipid solution with distal clamping effectively demonstrated leak sites, and suturing these sites prevented postoperative bile leakage. Our study demonstrates the effectiveness of the LIpid test in LIver Hydatid Cyst Surgery (Lili-Hics) in reducing biliary complications following hydatid cyst surgery.
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spelling doaj.art-a8dd4d6f80914989b2c810211236e94c2024-04-18T14:50:30ZengAssociation of Basic Medical Sciences of Federation of Bosnia and HerzegovinaBiomolecules & Biomedicine2831-08962831-090X2024-04-0110.17305/bb.2024.10371Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgeryMehmet Zafer Sabuncuoglu0https://orcid.org/0000-0002-5549-4023Isa Sozen1Ismail Zihni2Girayhan Celik3Ayfer Sen Acar4Fatmanur Dal5https://orcid.org/0000-0002-7270-2410Demet Gunduz6Hepatopancreatobiliary and Liver Transplantation Unit, Department of General Surgery, Suleyman Demirel University, Faculty of Medicine, Isparta, TurkeyHepatopancreatobiliary and Liver Transplantation Unit, Department of General Surgery, Suleyman Demirel University, Faculty of Medicine, Isparta, TurkeyHepatopancreatobiliary and Liver Transplantation Unit, Department of General Surgery, Suleyman Demirel University, Faculty of Medicine, Isparta, TurkeyHepatopancreatobiliary and Liver Transplantation Unit, Department of General Surgery, Suleyman Demirel University, Faculty of Medicine, Isparta, TurkeyHepatopancreatobiliary and Liver Transplantation Unit, Department of General Surgery, Suleyman Demirel University, Faculty of Medicine, Isparta, TurkeyDepartment of Biostatistic and Medical Informatics, Suleyman Demirel University, Faculty of Medicine, Isparta, TurkeyDepartment of Radiology, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey Bile leakage is a common complication following liver surgeries, particularly in the cases of liver hydatid cyst operations. Currently, there is no adequate method which could be utilized to prevent this complication effectively. Our study aimed to assess the efficacy of the biliary lipid test (BLT) in reducing biliary complications after hydatid cyst surgery. We retrospectively included patients who underwent open liver hydatid cyst surgery between January 2011 and January 2024. The study encompassed 122 patients, with 41 males and 81 females, ranging in age from 18 to 79 years. In the BLT group, a lipid solution was injected transcystically after cholecystectomy. The BLT was performed on 65 patients, while 57 patients did not undergo the test. Following the transcystic injection of the lipid solution, orifices at the site of lipid droplets that became visible were ligated with 5.0 prolene sutures. A total of 200 leak sites were sutured. Notably, none of the patients in the BLT group experienced postoperative bile leakage. Consequently, a shorter hospital stay was observed in this group. Transcystic injection of the lipid solution with distal clamping effectively demonstrated leak sites, and suturing these sites prevented postoperative bile leakage. Our study demonstrates the effectiveness of the LIpid test in LIver Hydatid Cyst Surgery (Lili-Hics) in reducing biliary complications following hydatid cyst surgery. https://bjbms.org/ojs/index.php/bjbms/article/view/10371Bile leaktranscystic lipid injectionhepatic resectionhydatid cyst
spellingShingle Mehmet Zafer Sabuncuoglu
Isa Sozen
Ismail Zihni
Girayhan Celik
Ayfer Sen Acar
Fatmanur Dal
Demet Gunduz
Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery
Biomolecules & Biomedicine
Bile leak
transcystic lipid injection
hepatic resection
hydatid cyst
title Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery
title_full Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery
title_fullStr Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery
title_full_unstemmed Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery
title_short Lili-Hics trial: Efficacy of the lipid test in liver hydatid cyst surgery
title_sort lili hics trial efficacy of the lipid test in liver hydatid cyst surgery
topic Bile leak
transcystic lipid injection
hepatic resection
hydatid cyst
url https://bjbms.org/ojs/index.php/bjbms/article/view/10371
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