Predisposing factors and surgical outcome of complicated liver hydatid cysts
Predisposing factors and surgical outcome of complicated liver hydatid cysts作者机构：Department of General Surgery Erciyes University School of Medicine Department of Biostatistics Erciyes University School of Medicine Department of Microbiology Erciyes University School of Medicine
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2010年第16卷第24期
页 面：3040-3048页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Complicated liver hydatid cysts Predisposing factors Surgical treatment Surgical outcome
摘 要：AIM: To evaluate the predisposing factors for peritoneal perforation and intrabiliary rupture and the effects of these complications on surgical outcome in liver hydatid ***: A total of 372 patients with liver hydatid cysts who had undergone surgical treatment were evaluated retrospectively. Twenty eight patients with peritoneal perforation, 93 patients with spontaneous intrabiliary perforation, and 251 patients with noncomplicated hydatid cysts were treated in our ***: When the predisposing factors for complications were evaluated, younger age, superf icial position, and larger cyst dimensions (P 0.05). The overall recurrence rate was 3.8% (14 patients), but there was not any statistical difference among the patient groups (P = 0.13). The early postoperative mortality rate was 1.1%. CONCLUSION: In peritoneally perforated and intrabiliary ruptured cases, the most important steps are irrigation of the peritoneal cavity and clearance of the cystic material from the biliary tree.
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