Capsulorrhaphy in the management of liver hydatid cyst
Introduction. Hydatid disease is a major health problem in some parts of the world. There are several non-operative 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 recur...
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| Format: | Article |
| Language: | English |
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Elsevier
2014-05-01
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| Series: | Annals of Hepatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1665268119308683 |
| _version_ | 1818588287696109568 |
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| author | Samad Mosaddeghi K. Hengameh K. Heris, M.D. Amrollah Bayat Zahra Mosaddeghi K. |
| author_facet | Samad Mosaddeghi K. Hengameh K. Heris, M.D. Amrollah Bayat Zahra Mosaddeghi K. |
| author_sort | Samad Mosaddeghi K. |
| collection | DOAJ |
| description | Introduction. Hydatid disease is a major health problem in some parts of the world. There are several non-operative 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. |
| first_indexed | 2024-12-16T09:22:22Z |
| format | Article |
| id | doaj.art-b5aa926b7491433790ca5903e8d5759d |
| institution | Directory Open Access Journal |
| issn | 1665-2681 |
| language | English |
| last_indexed | 2024-12-16T09:22:22Z |
| publishDate | 2014-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Hepatology |
| spelling | doaj.art-b5aa926b7491433790ca5903e8d5759d2022-12-21T22:36:45ZengElsevierAnnals of Hepatology1665-26812014-05-01133378383Capsulorrhaphy in the management of liver hydatid cystSamad Mosaddeghi K.0Hengameh K. Heris, M.D.1Amrollah Bayat2Zahra Mosaddeghi K.3Department of General Surgery, Imam Reza Hospital, 25th Golgasht Street, Tabriz-14756, East Azerbaijan, IranTabriz University of Medical Sciences, Daneshgah Street, Tabriz-14766, East Azerbaijan, Iran; Correspondence and reprint request:Department of General Surgery, Imam Reza Hospital, 25th Golgasht Street, Tabriz-14756, East Azerbaijan, IranTabriz University of Medical Sciences, Daneshgah Street, Tabriz-14766, East Azerbaijan, IranIntroduction. Hydatid disease is a major health problem in some parts of the world. There are several non-operative 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.http://www.sciencedirect.com/science/article/pii/S1665268119308683Hydatid diseaseCapsulorrhaphyComplicationsOpen surgeryMortality |
| spellingShingle | Samad Mosaddeghi K. Hengameh K. Heris, M.D. Amrollah Bayat Zahra Mosaddeghi K. Capsulorrhaphy in the management of liver hydatid cyst Annals of Hepatology Hydatid disease Capsulorrhaphy Complications Open surgery Mortality |
| title | Capsulorrhaphy in the management of liver hydatid cyst |
| title_full | Capsulorrhaphy in the management of liver hydatid cyst |
| title_fullStr | Capsulorrhaphy in the management of liver hydatid cyst |
| title_full_unstemmed | Capsulorrhaphy in the management of liver hydatid cyst |
| title_short | Capsulorrhaphy in the management of liver hydatid cyst |
| title_sort | capsulorrhaphy in the management of liver hydatid cyst |
| topic | Hydatid disease Capsulorrhaphy Complications Open surgery Mortality |
| url | http://www.sciencedirect.com/science/article/pii/S1665268119308683 |
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